HAVEN HEART'S COMMUNITY DEVELOPMENT CENTER INC. NPI 1043425416

NPI Information

  • NPI: 1043425416
  • Provider Name: HAVEN HEART'S COMMUNITY DEVELOPMENT CENTER, INC.
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Doing Business As: AUGUSTA COMMUNITY RESOURCE CENTER
  • Address: 5604 WENDY BAGWELL PARKWAY
    SUITE 211
    HIRAM, GA
    ZIP 30141
  • Phone: (770) 485-2202

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NPI Details

HAVEN HEART'S COMMUNITY DEVELOPMENT CENTER, INC. is a mental health counselor in Hiram, GA. HAVEN HEART'S COMMUNITY DEVELOPMENT CENTER, INC. NPI is 1043425416. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Augusta Community Resource Center.

The provider's business location address is:

5604 WENDY BAGWELL PARKWAY
SUITE 211
HIRAM, GA
ZIP 30141-814
Phone: (770) 485-2202
Fax: (770) 575-0456

The provider's authorized official is Sonja Yvette Hopkins .
The authorized official title is Executive Director and has the following contact phone number (770) 485-2202.

The enumeration date for this NPI number is 5/11/2007 and was last updated on 5/8/2008.

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
1101YM0800XCounselorMental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1040676383AMEDICAIDGEORGIA

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: 3/30/2025

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