Mental Haven, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MENTAL HAVEN, LLC

Doing business as

The Mental Haven

Practice address

3630 S Perry St
Montgomery, AL 36105-2203

Phone

(334) 625-0779

Fax

(334) 888-8599

NPI assigned

Apr 13, 2022

Organization subpart

No

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

Authorized official

Name

Danel Whitehead, LICSW

Title

Owner/Clinical Director

Phone

(313) 300-0567

Specialties & licenses 1

Addresses

Other names 1

• The Mental Haven Doing business as

Locations

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

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1124760624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3066 ZELDA RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062651",
            "telephone_number": "313-300-0567",
            "fax_number": "334-888-8599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 S PERRY ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361052203",
            "telephone_number": "334-625-0779",
            "fax_number": "334-888-8599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1740 Old Fort Pkwy # 1365",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371293384",
            "country_code": "US",
            "telephone_number": "334-625-0779",
            "fax_number": "334-888-8599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MENTAL HAVEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-13",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-09",
        "status": "A",
        "authorized_official_last_name": "WHITEHEAD",
        "authorized_official_first_name": "DANEL",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "313-300-0567",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Mental Haven",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Mental Haven",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Melvin, PA
• Tracey L Mendelsohn, NP
• Mending Hearts on Wheels
• Menm, LLC
• Jill Mennemeier, BSN
• Mental Mindset Counseling LLC
• Nailah Mercer
• Joanna Smith Merchant, CRNA
• Mercy Family Healthcare, Inc
• Bethany Jacobs Meredith, D.O.

• Clinical Social Worker in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.