Provider Demographics
NPI:1881346898
Name:HOPE HAVEN THERAPY PLLC
Entity type:Organization
Organization Name:HOPE HAVEN THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:OKSANA
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:LAUNER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:203-258-0724
Mailing Address - Street 1:4017 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06825-1264
Mailing Address - Country:US
Mailing Address - Phone:203-258-0724
Mailing Address - Fax:
Practice Address - Street 1:4017 PARK AVE
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06825-1264
Practice Address - Country:US
Practice Address - Phone:203-258-0724
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-20
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)