Active NPI
Dehaven Healthcare, Inc.
- Community/Behavioral Health Agency
- Hazlehurst, GA
National Provider Identifier
1134308562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- DEHAVEN HEALTHCARE, INC.
- Practice address
- 121 Ray Rd
Hazlehurst, GA 31539-5119 - Phone
- (888) 782-1138
- Fax
- (912) 525-3183
- NPI assigned
- Nov 2, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert W. Dehaven, LPC, NCC, DAPA
- Title
- President & Ceo
- Phone
- (888) 782-1138
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
121 Ray Rd
Hazlehurst, GA 31539-5119
Mailing address
131 Ray Rd
Hazlehurst, GA 31539-5119
Phone (888) 782-1138
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193961600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205971200000",
"number": "1134308562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 RAY RD",
"city": "HAZLEHURST",
"state": "GA",
"postal_code": "315395119",
"telephone_number": "888-782-1138",
"fax_number": "912-525-3183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 RAY RD",
"city": "HAZLEHURST",
"state": "GA",
"postal_code": "315395119",
"telephone_number": "888-782-1138",
"fax_number": "912-525-3183"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEHAVEN HEALTHCARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-02",
"last_updated": "2008-03-20",
"status": "A",
"authorized_official_last_name": "DEHAVEN",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "W.",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "888-782-1138",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LPC, NCC, DAPA"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hazlehurst, GA
- CRH Physician Practices, LLC (CRH Women's Center)
- CRH Physician Practices, LLC (CRH Hazelhurst Group)
- David J. Ellis, DO, LLC
- David L Turfler MD PC
- Christina Gail Davis, PTA
- Robert W. Dehaven, M.S., NCC, LPC, DAPA
- Dr. Jason R Laney, PC (Laney Internal Medicine Group)
- Elizabeth Sha Duque, APRN
- DZH, Inc (Therapy Services of Georgia)
- East Georgia Healthcare Center, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.