THE HAVEN SUPPORT SERVICES LLC NPI 1245106889

NPI Information

  • NPI: 1245106889
  • Provider Name: THE HAVEN SUPPORT SERVICES LLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 512 RIVERSIDE PKWY NE STE 701
    ROME, GA
    ZIP 30161
  • Phone: (706) 266-0756

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NPI Details

THE HAVEN SUPPORT SERVICES LLC is a mental health counselor in Rome, GA. THE HAVEN SUPPORT SERVICES LLC NPI is 1245106889. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

512 RIVERSIDE PKWY NE STE 701
ROME, GA
ZIP 30161-910
Phone: (706) 266-0756
Fax: (706) 625-7660

The provider's authorized official is Brittny Raquel Kinnebrew .
The authorized official title is Cheif Executive Officer and has the following contact phone number (706) 266-0756.

The enumeration date for this NPI number is 10/13/2025 and was last updated on 10/13/2025.

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

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: 11/21/2025

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