Earth Haven Therapy Inc.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

EARTH HAVEN THERAPY INC.

Practice address

8760 SW 21St CT
Ocala, FL 34476-6732

Phone

(818) 272-6442

Fax

(714) 333-4407

NPI assigned

Jan 29, 2021

Organization subpart

No

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

Authorized official

Name

Linda Monique Bert, MA, LMFT, CAAPNPI 1710248075

Title

LMFT

Phone

(818) 272-6442

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Linda Bert Doing business as
• Beach Behavioral LLC Former legal business name

Practitioners 1

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

• Linda Monique Bert, MA, LMFT, CAAP

  • Marriage & Family Therapist
  • Ocala, FL
  • NPI 1710248075
  NPD Authorized official

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

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637798400000",
    "number": "1407447600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8760 SW 21ST CT",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344766732",
            "telephone_number": "818-272-6442",
            "fax_number": "714-333-4407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8760 SW 21ST CT",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344766732",
            "telephone_number": "818-272-6442",
            "fax_number": "714-333-4407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARTH HAVEN THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-29",
        "last_updated": "2021-11-25",
        "certification_date": "2021-11-25",
        "status": "A",
        "authorized_official_last_name": "BERT",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "LMFT",
        "authorized_official_telephone_number": "818-272-6442",
        "authorized_official_credential": "MA, LMFT, CAAP"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108285000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Linda Bert",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beach Behavioral LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Marriage & Family Therapist in Ocala, FL
• Providers in Ocala, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2021; 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.