National Provider Identifier Database

HAVEN BEHAVIORAL SERVICES OF FT WORTH LLC
Psychiatric Hospital

An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.


Contact Information

HAVEN BEHAVIORAL SERVICES OF FT. WORTH, LLC
1000 SAINT LOUIS AVE
FORT WORTH, TX76104-3366
Phone: 615-250-9500
Fax:
Website:
Specialty Taxonomy Code
* Psychiatric Hospital 283Q00000X

* Indicates primary specialty

NPI Profile & details for HAVEN BEHAVIORAL SERVICES OF FT. WORTH, LLC

NPI Number 1275974636
Legal business name
LBN
HAVEN BEHAVIORAL SERVICES OF FT. WORTH, LLC
Authorized official JANIE PICKLE - (VP/TREASURER)
Entity Organization
Organization subpart No
Enumeration date 07/15/2013
Last updated 07/15/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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