Haven Mental Wellness Pllc

LBN: Haven Mental Wellness Pllc
Haven Mental Wellness Pllc is an health care organization with primary practice located at 111 S Road St , Elizabeth City NC 27909-4355. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Haven Mental Wellness Pllc can be contacted via phone (252) 619-2309, or through Johnson, Gemini J via phone (252) 619-2309.

Contact Information

Primary practice address
111 S Road St Elizabeth City NC 27909-4355
Phone: (252) 619-2309
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Gemini J Licensed Clinical Social Worker (LCSW)
Phone: (252) 619-2309

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1104598838
LBN Legal business name Haven Mental Wellness Pllc
DBA Doing business as
Authorized official Johnson, Gemini J Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 30th, 2021
Last updated Mar 14th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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