Provider Demographics
NPI:1952907875
Name:HAVEN PROFESSIONAL COUNSELING, LLC
Entity type:Organization
Organization Name:HAVEN PROFESSIONAL COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:BUSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-833-2188
Mailing Address - Street 1:199 N WOODBURY RD STE 203A
Mailing Address - Street 2:
Mailing Address - City:PITMAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08071-1275
Mailing Address - Country:US
Mailing Address - Phone:609-833-2188
Mailing Address - Fax:
Practice Address - Street 1:199 N WOODBURY RD STE 203A
Practice Address - Street 2:
Practice Address - City:PITMAN
Practice Address - State:NJ
Practice Address - Zip Code:08071-1275
Practice Address - Country:US
Practice Address - Phone:609-388-2188
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-07
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health