| Shield And Haven Therapy Llc | |
|
320 E Lewis St Carterville MO 64835-1548 | |
| (417) 214-2795 | |
| Not Available |
| Full Name | Shield And Haven Therapy Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 320 E Lewis St, Carterville, Missouri |
| Authorized Official Name and Position | Hannah Neely-beaver (OWNER) |
| Authorized Official Contact | 4172142795 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shield And Haven Therapy Llc 320 E Lewis St Carterville MO 64835-1548 Ph: (417) 214-2795 | Shield And Haven Therapy Llc 320 E Lewis St Carterville MO 64835-1548 Ph: (417) 214-2795 |
| NPI Number | 1881573038 |
|---|---|
| Provider Enumeration Date | 09/01/2025 |
| Last Update Date | 09/02/2025 |
| Certification Date | 09/02/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881573038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |