MIND HAVEN LLC NPI 1427774629

NPI Information

NPI: 1427774629
Provider Name: MIND HAVEN LLC
Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization
Address:
1561 BRAMLETT HILL LN
LAWRENCEVILLE, GA
ZIP 30045
Phone: (843) 364-4374
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MIND HAVEN LLC is a public health or welfare in Lawrenceville, GA. MIND HAVEN LLC NPI is 1427774629. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1561 BRAMLETT HILL LN
LAWRENCEVILLE, GA
ZIP 30045-601
Phone: (843) 364-4374

The provider's authorized official is Shonta Williams .
The authorized official title is Mental Health Counselor and has the following contact phone number (843) 364-4374.

The enumeration date for this NPI number is 10/18/2022 and was last updated on 10/18/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YM0800X	Counselor	Mental Health	No
2	251B00000X	Case Management		No
3	251S00000X	Community/Behavioral Health		No
4	253Z00000X	In Home Supportive Care		No
5	385HR2055X	Respite Care	Respite Care, Mental Illness, Child	No
6	251K00000X	Public Health or Welfare		Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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