| Fairhaven Foundation, Inc. | |
| 
					117 Guise Park Dr Munroe Falls OH 44262-1514  | |
| (330) 472-3078 | |
| (234) 263-6005 | 
| Full Name | Fairhaven Foundation, Inc. | 
|---|---|
| Speciality | Counselor | 
| Location | 117 Guise Park Dr, Munroe Falls, Ohio | 
| Authorized Official Name and Position | Collin A Myers (DIRECTOR) | 
| Authorized Official Contact | 3304723078 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Fairhaven Foundation, Inc. 117 Guise Park Dr Munroe Falls OH 44262-1514 Ph: (330) 472-3078  | Fairhaven Foundation, Inc. 117 Guise Park Dr Munroe Falls OH 44262-1514 Ph: (330) 472-3078  | 
| NPI Number | 1689722456 | 
|---|---|
| Provider Enumeration Date | 01/08/2007 | 
| Last Update Date | 08/11/2025 | 
| Certification Date | 08/11/2025 | 
| Medicare PECOS PAC ID | 2062853005 | 
|---|---|
| Medicare Enrollment ID | O20240508003210 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1689722456 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary | 
| Provider Name | Collin A Myers | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1588652853 PECOS PAC ID: 3971944919 Enrollment ID: I20240508003240  | 
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