Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Healing Haven Licensed Clinical

Organization Clinical Social Worker · NPI 1144046608

Healing Haven Licensed Clinical is a Clinical Social Worker in San Jacinto, California. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

315 E Esplanade Ave Unit 89
San Jacinto, CA 92583-5102
Phone: (951) 214-5071
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1144046608
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenyada Wagoner — Owner/Ceo · (951) 214-5071
NPI enumeratedDecember 2, 2024
Last updated in NPPESMarch 20, 2025
Certification dateMarch 20, 2025
Mailing address315 E Esplanade Ave Unit 89, San Jacinto, CA 92583-5102

Other providers in San Jacinto