Organization Active NPI

Cozy Cove Safe Haven LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Yazoo City, MS
National Provider Identifier
1124769989
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
COZY COVE SAFE HAVEN LLC
Practice address
231 Linda Blvd
Yazoo City, MS 39194-5138
Phone
(662) 528-3635
NPI assigned
Apr 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Authorized official

Name
Shanitra FinleyNPI 1124768502
Title
Owner
Phone
(662) 528-3635

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

231 Linda Blvd
Yazoo City, MS 39194-5138

Mailing address

231 Linda Blvd
Yazoo City, MS 39194-5138
Phone (662) 532-8550

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695254400000",
    "number": "1124769989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 LINDA BLVD",
            "city": "YAZOO CITY",
            "state": "MS",
            "postal_code": "391945138",
            "telephone_number": "662-532-8550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 LINDA BLVD",
            "city": "YAZOO CITY",
            "state": "MS",
            "postal_code": "391945138",
            "telephone_number": "662-528-3635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COZY COVE SAFE HAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-05",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A",
        "authorized_official_last_name": "FINLEY",
        "authorized_official_first_name": "SHANITRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-528-3635"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yazoo City, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.