A Safe Haven Wellness & Primary Care, LLC

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

Legal business name

A SAFE HAVEN WELLNESS & PRIMARY CARE, LLC

Practice address

8813 Love Field CT
Willow Spring, NC 27592-8664

Phone

(919) 400-7863

Fax

(919) 290-4754

NPI assigned

Jul 25, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Trevor Aaron Ulrich, LCP

Title

Owner

Phone

(919) 400-7863

Specialties & licenses 1

Addresses

Other names 1

• A Safe Haven Wellness & Primary Care Doing business as

Electronic endpoints 1

Tax ID family

A Safe Haven Wellness Primary Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• A Safe Haven Wellness & Primary Care, LLC

  • Addiction Medicine (Family Medicine) Physician
  • Willow Spring, NC
  • NPI 1922960590
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764633600000",
    "number": "1053149476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8813 LOVE FIELD CT",
            "city": "WILLOW SPRING",
            "state": "NC",
            "postal_code": "275928664",
            "telephone_number": "919-400-7863",
            "fax_number": "919-290-4754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8813 LOVE FIELD CT",
            "city": "WILLOW SPRING",
            "state": "NC",
            "postal_code": "275928664",
            "telephone_number": "919-400-7863",
            "fax_number": "919-290-4754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A SAFE HAVEN WELLNESS & PRIMARY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-25",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A",
        "authorized_official_last_name": "ULRICH",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-400-7863",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCP"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ashw.info@icloud.com",
            "affiliation": "Y",
            "endpointDescription": "Primary communication endpoint for secure messaging and exchange related to clinical care, referrals, and administrative use.",
            "affiliationName": "A Safe Haven Wellness & Primary Care",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8813 Love Field Ct",
            "city": "Willow Spring",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275928664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "A Safe Haven Wellness & Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• A Safe Haven Wellness & Primary Care
• A Safe Haven Wellness & Primary Care, LLC
• Carmen Alexia Ackermann
• Abigail Baker, AGACNP
• Samantha Jean Beverage
• Heather Bittle, PTA

• All providers in Willow Spring, NC
• Addiction Medicine (Family Medicine) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.