Provider Demographics
NPI:1912796244
Name:HAVENWOOD HEALTH LLC
Entity type:Organization
Organization Name:HAVENWOOD HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:LURIA
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CAADC, LCDP
Authorized Official - Phone:401-471-1690
Mailing Address - Street 1:5600 POST ROAD
Mailing Address - Street 2:#114, PMB 311
Mailing Address - City:EAST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818
Mailing Address - Country:US
Mailing Address - Phone:401-471-1690
Mailing Address - Fax:
Practice Address - Street 1:294 BUTLER AVE APT 1
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-5546
Practice Address - Country:US
Practice Address - Phone:401-471-1690
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-02
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty