HAVEN NPI 1285862292

NPI Information

NPI: 1285862292
Provider Name: HAVEN
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Organization

Specialization: Child & Adolescent Psychiatry

CLIA Number: 34D2040513

Address:
20 S 16TH ST
WILMINGTON, NC
ZIP 28401
Phone: (910) 399-3927
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HAVEN is a child and adolescent psychiatry psychiatry neurology in Wilmington, NC. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. HAVEN NPI is 1285862292. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

20 S 16TH ST
WILMINGTON, NC
ZIP 28401-924
Phone: (910) 399-3927
Fax: (910) 399-3928

The provider's authorized official is Dwight Lysne .
The authorized official title is Director and has the following contact phone number (910) 465-1935.

The CLIA number assigned to this NPI record is 34D2040513 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/29/2009 and was last updated on 1/2/2014.

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	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	200301378	NORTH CAROLINA	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

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