SELF HAVEN LLC NPI 1013499441

NPI Information

NPI: 1013499441
Provider Name: SELF HAVEN LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1105 CARLA DRIVE
CANTONMENT, FL
ZIP 32533
Phone: (850) 449-3883
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SELF HAVEN LLC is a mental health counselor in Cantonment, FL. SELF HAVEN LLC NPI is 1013499441. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1105 CARLA DRIVE
CANTONMENT, FL
ZIP 32533
Phone: (850) 449-3883
Fax: (850) 607-9039

The provider's authorized official is Melissa D Garner .
The authorized official title is Owner and has the following contact phone number (850) 449-3883.

The enumeration date for this NPI number is 9/1/2018 and was last updated on 9/1/2018.

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	101YM0800X	Counselor	Mental Health	MH11872	FLORIDA	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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