Provider Demographics
NPI:1821747502
Name:HAVEN BIRTH AND WELLNESS
Entity Type:Organization
Organization Name:HAVEN BIRTH AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:KEATING
Authorized Official - Last Name:BURNS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-436-6235
Mailing Address - Street 1:574 FRANKLIN RD STE 215
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37069-8214
Mailing Address - Country:US
Mailing Address - Phone:615-436-6236
Mailing Address - Fax:615-823-7319
Practice Address - Street 1:574 FRANKLIN RD STE 215
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37069-8214
Practice Address - Country:US
Practice Address - Phone:615-436-6236
Practice Address - Fax:615-823-7319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-21
Last Update Date:2023-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service