Haven of Safety, Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

044645D Issued in GA

Legal business name

HAVEN OF SAFETY, INC.

Practice address

4150 Snapfinger Woods Dr
Suite 208
Decatur, GA 30035-3417

Phone

(404) 534-6720

Fax

(404) 534-6722

NPI assigned

Sep 7, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Winifred Gayle-Brown

Title

Administrator

Phone

(404) 534-6720

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189123200000",
    "number": "1063607653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4379 LUXEMBOURG DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300345428",
            "telephone_number": "404-534-6720",
            "fax_number": "404-534-6722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 SNAPFINGER WOODS DR",
            "address_2": "SUITE 208",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300353417",
            "telephone_number": "404-534-6720",
            "fax_number": "404-534-6722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN OF SAFETY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2007-09-07",
        "status": "A",
        "authorized_official_last_name": "GAYLE-BROWN",
        "authorized_official_first_name": "WINIFRED",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "404-534-6720",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "044645D",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHDDAD PROVIDER AGREEMENT",
            "identifier": "4279383701100",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hathorn Therapy Services, LLC
• Brian Haughton, LPC
• Valerie Hauser, DPT
• Haven Autism (Haven Autism Services)
• Haven House Counseling Center, LLC
• Havenoaks Services, Inc (Synergy HomeCare of Metro Atlanta)
• Pamela Hawes
• Alasia Hawkins
• Ayesha Treachea Hawkins, MS-HUMAN BEHAVIOR
• Caroline Hawkins, MPH,APRN-BC

• Mental Health Counselor in Decatur, GA
• Providers in Decatur, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; 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.