Haven Health Co, LLC
Social Worker, Clinical in Stafford, VA. Organization (NPI-2).
NPI number1104760016
StatusActive
Last updated in NPPESApr 20, 2026
Details
- NPI
- 1104760016
- Entity type
- Organization (NPI-2)
- Legal business name
- Haven Health Co, LLC
- Organization subpart
- No
- Enumeration date
- Apr 20, 2026
- Certification date
- Apr 20, 2026
- Last updated
- Apr 20, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 103TC0700X | Psychologist, Clinical | – | – | |
| 106H00000X | Marriage & Family Therapist | – | – | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – |
Practice location
558 Crab Apple DrStafford, VA 22554-6858
Phone 703-314-0678
Mailing address
558 Crab Apple DrStafford, VA 22554-6858
Phone 703-314-0678
Authorized official
Heidi Faust
Owner
7033140678
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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