Safe Haven Llc

LBN: Safe Haven Llc
Safe Haven Llc is an health care organization with primary practice located at 3575 Macon Rd Ste 7 , Columbus GA 31907-8227. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Safe Haven Llc can be contacted via phone (203) 414-9306, or through Johnson, Trevor via phone (203) 414-9306.

Contact Information

Primary practice address
3575 Macon Rd Ste 7 Columbus GA 31907-8227
Phone: (203) 414-9306
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Trevor Licensed Clinical Social Worker (LCSW)
Phone: (203) 414-9306

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW005312 Georgia

Profile Details

NPI number 1932680352
LBN Legal business name Safe Haven Llc
DBA Doing business as
Authorized official Johnson, Trevor Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 23rd, 2018
Last updated Aug 23rd, 2018 - about 8 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1932680352 NPPES
Georgia MEDICAID 003190107A

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