| Healthy Haven Counseling & Consulting Services, Llc | |
|
2905 N Prince St Ste H Clovis NM 88101-3843 | |
| (888) 374-4460 | |
| (575) 914-6407 |
| Full Name | Healthy Haven Counseling & Consulting Services, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2905 N Prince St Ste H, Clovis, New Mexico |
| Authorized Official Name and Position | Renita Borders (OWNER/THERAPIST) |
| Authorized Official Contact | 5757913596 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Haven Counseling & Consulting Services, Llc 2905 N Prince St Ste H Clovis NM 88101-3843 Ph: (888) 374-4460 | Healthy Haven Counseling & Consulting Services, Llc 2905 N Prince St Ste H Clovis NM 88101-3843 Ph: (888) 374-4460 |
| NPI Number | 1114538337 |
|---|---|
| Provider Enumeration Date | 08/11/2020 |
| Last Update Date | 08/11/2020 |
| Certification Date | 08/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114538337 | NPI | - | NPPES |
| 61556564 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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