WONDER HAVEN PLLC
NPI 1205712965
Community/Behavioral Health in Clarksville, TN

Active since August 15, 2025
1014 WILLOW CIR, CLARKSVILLE, TN 37043(240) 938-3719 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wonder Haven Pllc NPPES

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

WONDER HAVEN PLLC (NPI 1205712965) is a healthcare organization registered as a community/behavioral health in Clarksville, Tennessee and active in the NPI registry since August 2025. The organization lists Erica Vanesa Penko, Owner/bcba, as its authorized official.

NPPES Registry Identity

NPI1205712965
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameWONDER HAVEN PLLC
Location Address1014 WILLOW CIRClarksville, TN 37043-6854
Mailing Address1014 Willow CirClarksville, TN 37043-6854 · (240) 938-3719
Organization SubpartNo
Authorized OfficialErica Vanesa PenkoOwner/bcba · (240) 938-3719
Enumeration DateAugust 15, 2025
NPPES CertifiedAugust 15, 2025
NPI 1205712965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1014 WILLOW CIR, Clarksville, TN 37043

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.

Behavior Technician
1014 WILLOW CIR
CLARKSVILLE, TN 37043
Behavior Analyst
1014 WILLOW CIR
CLARKSVILLE, TN 37043
Behavior Technician
1014 WILLOW CIR
CLARKSVILLE, TN 37043

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 Wonder Haven PLLC's NPI number?

The NPI number for Wonder Haven PLLC is 1205712965. It was assigned to this organization in the NPPES registry on August 15, 2025.

Where is Wonder Haven PLLC located?

Wonder Haven PLLC is located at 1014 Willow Cir, Clarksville, TN 37043. The listed phone number is (240) 938-3719.

What is Wonder Haven PLLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Wonder Haven PLLC was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.