Provider Demographics
NPI:1720372287
Name:HAVA SCHAVER PHD ACSW BCD PC
Entity Type:Organization
Organization Name:HAVA SCHAVER PHD ACSW BCD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HAVA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHAVER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:248-737-0787
Mailing Address - Street 1:2024 S HAMMOND LAKE RD
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48324-1816
Mailing Address - Country:US
Mailing Address - Phone:248-737-0787
Mailing Address - Fax:
Practice Address - Street 1:26111 W 14 MILE RD
Practice Address - Street 2:SUITE 200C
Practice Address - City:FRANKLIN
Practice Address - State:MI
Practice Address - Zip Code:48025-1168
Practice Address - Country:US
Practice Address - Phone:248-737-0787
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-01
Last Update Date:2011-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301007991261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI6802491629OtherBLUE CROSS BLUE SHIELD OF MICHIGAN
184133365OtherNPI