Haven Holistic Center, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

HAVEN HOLISTIC CENTER, LLC

Practice address

7800 Sheridan St
Pembroke Pines, FL 33024-2536

Phone

(954) 224-5640

NPI assigned

Nov 7, 2014

Last updated

Nov 7, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lisa MerconchiniNPI 1710128574

Title

Ceo

Phone

(954) 415-5343

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa Anne Merconchini, PSY.D.

  • Clinical Psychologist
  • Fort Lauderdale, FL
  • NPI 1710128574
  Authorized official Same address or phone

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

{
    "created_epoch": "1415318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415318400000",
    "number": "1649676313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8895",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330758895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 SHERIDAN ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330242536",
            "telephone_number": "954-224-5640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN HOLISTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-07",
        "last_updated": "2014-11-07",
        "status": "A",
        "authorized_official_last_name": "MERCONCHINI",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-415-5343",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Syed J Hashmi, M.D.
• Sarah Elizabeth Haslett, CCC-SLP
• Hassan DMD PA
• Omer Ul Hassan, MD
• Brenda Karina Hatzis
• Kameron Hawks
• Robert Earl Hawver, P.A.
• Elisabeth Sheridan Hayes, MD
• Cheryl L Haynes, APRN
• Marilyn Elizabeth Haynes, CARE COACH

• Substance Abuse Rehabilitation Facility in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Substance Abuse Rehabilitation Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2014; 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.