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HAVEN MIND BODY COLLECTIVE, LLC
NPI 1184477507
Counselor - Mental Health in Longview, WA

Active since April 08, 2024
1105 15TH AVE STE F, LONGVIEW, WA 98632(360) 703-6499 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Haven Mind Body Collective, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HAVEN MIND BODY COLLECTIVE, LLC (NPI 1184477507) is a healthcare organization registered as a mental health in Longview, Washington and active in the NPI registry since April 2024. The organization lists Amanda Renee Hart, Certified Counselor, as its authorized official.

NPPES Registry Identity

NPI1184477507
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameHAVEN MIND BODY COLLECTIVE, LLC
Location Address1105 15TH AVE STE FLongview, WA 98632-3080
Mailing Address1105 15th Ave Ste FLongview, WA 98632-3080 · (360) 703-6499
Phone(360) 703-6499
Organization SubpartNo
Authorized OfficialAmanda Renee HartCertified Counselor · (360) 562-5509
Enumeration DateApril 8, 2024
NPPES CertifiedApril 6, 2024
✔ NPI 1184477507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1105 15TH AVE STE F, Longview, WA 98632
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA RENEE HART CC, LMT
Counselor (Mental Health)
1105 15TH AVE STE F
LONGVIEW, WA 98632
Cowlitz County (360) 703-6499
SARAH PRYOR LMT
Massage Therapist
1105 15TH AVE STE F
LONGVIEW, WA 98632
Cowlitz County (360) 762-4806
MS. VIVIAN M PERALTA MESA MS, LMFT
Marriage & Family Therapist
1105 15TH AVE STE F
LONGVIEW, WA 98632
Cowlitz County (704) 910-7942

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Haven Mind Body Collective, LLC's NPI number?

The NPI number for Haven Mind Body Collective, LLC is 1184477507. It was assigned to this organization in the NPPES registry on April 8, 2024.

Where is Haven Mind Body Collective, LLC located?

Haven Mind Body Collective, LLC is located at 1105 15th Ave Ste F, Longview, WA 98632. The listed phone number is (360) 703-6499.

What is Haven Mind Body Collective, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Haven Mind Body Collective, LLC was last updated on April 8, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.