SAFE HAVEN EBEHAVIORAL HEALTH NPI 1144966003

NPI Information

NPI: 1144966003
Provider Name: SAFE HAVEN EBEHAVIORAL HEALTH
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
1309 COFFEEN AVE STE 1200
SHERIDAN, WY
ZIP 82801
Phone: (443) 703-6727
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SAFE HAVEN EBEHAVIORAL HEALTH is a psychiatric/mental health nurse practitioner in Sheridan, WY. SAFE HAVEN EBEHAVIORAL HEALTH NPI is 1144966003. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1309 COFFEEN AVE STE 1200
SHERIDAN, WY
ZIP 82801-777
Phone: (443) 703-6727

The provider's authorized official is Giovanni Pierre .
The authorized official title is Owner and has the following contact phone number (443) 703-6727.

The enumeration date for this NPI number is 5/12/2022 and was last updated on 5/18/2022.

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	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			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: 11/14/2023

NPI Synchronization or Removal

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