Provider Demographics
NPI:1881573038
Name:SHIELD AND HAVEN THERAPY LLC
Entity type:Organization
Organization Name:SHIELD AND HAVEN THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HANNAH
Authorized Official - Middle Name:
Authorized Official - Last Name:NEELY-BEAVER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:417-214-2795
Mailing Address - Street 1:320 E LEWIS ST
Mailing Address - Street 2:
Mailing Address - City:CARTERVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:64835-1548
Mailing Address - Country:US
Mailing Address - Phone:417-214-2795
Mailing Address - Fax:
Practice Address - Street 1:320 E LEWIS ST
Practice Address - Street 2:
Practice Address - City:CARTERVILLE
Practice Address - State:MO
Practice Address - Zip Code:64835-1548
Practice Address - Country:US
Practice Address - Phone:417-214-2795
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-01
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)