Haven Recovery LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

HAVEN RECOVERY LLC

Doing business as

Haven Recovery LLC

Practice address

1474 W 2100 N
Pleasant Grove, UT 84062-9508

Phone

(801) 400-7176

NPI assigned

Aug 20, 2019

Organization subpart

Yes

Parent organization

HAVEN RECOVERY LLCAs reported in NPPES

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

Authorized official

Name

Ivy Michelle O'Brien

Title

Owner

Phone

(801) 400-7176

Specialties & licenses 2

Addresses

Other names 1

• Haven Recovery LLC Doing business as

Part of

Haven Recovery LLC

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566259200000",
    "number": "1407403983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11295 N TAMARACK DR",
            "city": "HIGHLAND",
            "state": "UT",
            "postal_code": "840039596",
            "telephone_number": "801-400-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1474 W 2100 N",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840629508",
            "telephone_number": "801-400-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN RECOVERY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HAVEN RECOVERY LLC",
        "enumeration_date": "2019-08-20",
        "last_updated": "2019-08-20",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "IVY",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-400-7176"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haven Recovery LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anna Alyse Harrison
• Aaron Marquez Harvey
• Paige Harward
• Briaunna Ilean Hatch
• Terri Hatch, CMHC
• David Eli Hawkins, M.S.P.T
• Jared Hawkins, LMFT, PHD
• Stacy Ann Hawks
• Chance Hayes
• Zakariah Kent Hazlett

• Substance Use Disorder Rehabilitation Clinic/Center in Pleasant Grove, UT
• Providers in Pleasant Grove, UT by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; 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.