Healthy Haven Counseling & Consulting Services, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

HEALTHY HAVEN COUNSELING & CONSULTING SERVICES, LLC

Practice address

2905 N Prince St Ste H
Clovis, NM 88101-3843

Phone

(888) 374-4460

Fax

(575) 914-6407

NPI assigned

Aug 11, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Renita Borders, LCSWNPI 1174825038

Title

Owner/Therapist

Phone

(575) 791-3596

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Healthy Haven Counseling Doing business as

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Renita Borders

  • Clinical Social Worker
  • Clovis, NM
  • NPI 1174825038

  Clinical

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597104000000",
    "number": "1114538337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 N PRINCE ST STE H",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881013843",
            "telephone_number": "888-374-4460",
            "fax_number": "575-914-6407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 N PRINCE ST STE H",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881013843",
            "telephone_number": "888-374-4460",
            "fax_number": "575-914-6407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY HAVEN COUNSELING & CONSULTING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-11",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A",
        "authorized_official_last_name": "BORDERS",
        "authorized_official_first_name": "RENITA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "575-791-3596",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "61556564",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://renitaborders.mytheranest.com/home/login",
            "affiliation": "N",
            "endpointDescription": "Secure Client Portal",
            "address_1": "2905 N Prince St Ste H",
            "city": "Clovis",
            "state": "NM",
            "country_code": "US",
            "postal_code": "881013843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Healthy Haven Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephen H. Haynes, MD
• Tabitha Star Haynie, M.S., CFY-SLP
• Hazen Chiropractic Center
• Shenye He, D.M.D.
• Wayne Keith Head, LMSW
• Donald L Heine, MD
• Thomas M. Hemmer, D.O.
• Robyn Nicole Henderson, PT, DPT
• Sharon Henry Kwarula, BAHS, CCSS
• Jena Dawn Henry

• All providers in Clovis, NM
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.