| Haven Mental Wellness Llc | |
|
1317 Prominence Ct Sandpoint ID 83864-5412 | |
| (208) 610-6459 | |
| (208) 610-6459 |
| Full Name | Haven Mental Wellness Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1317 Prominence Ct, Sandpoint, Idaho |
| Authorized Official Name and Position | Amanda Louise Russell (OWNER) |
| Authorized Official Contact | 2086106459 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Haven Mental Wellness Llc 1317 Prominence Ct Sandpoint ID 83864-5412 Ph: (208) 610-6459 | Haven Mental Wellness Llc 1317 Prominence Ct Sandpoint ID 83864-5412 Ph: (208) 610-6459 |
| NPI Number | 1497620116 |
|---|---|
| Provider Enumeration Date | 10/10/2025 |
| Last Update Date | 10/10/2025 |
| Certification Date | 10/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497620116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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