Safe Harbor Foundation
Organization Active NPI Counselor · Leonard, TX
NPI 1154583839 · NPPES record last updated Jun 25, 2008
Key facts
- NPI
- 1154583839
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Counselor 101Y00000X
- License
- LPC18738 (TX)
- Legal business name
- SAFE HARBOR FOUNDATION
- Practice address
- 801 Flanagan Rd
Leonard, TX 75452-4965 - Phone
- (888) 613-2266
- Fax
- (888) 613-2266
- NPI assigned
- Jun 25, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. James Soaring Eagle Vonda, PHD
- Title
- Director
- Phone
- 88861322656
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor |
101Y00000X | LPC18738 | TX | Yes |
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | LCDC9534 | TX | |
| Mental Health Counselor |
101YM0800X | LPC18738 | TX |
Addresses
Primary practice location
801 Flanagan Rd
Leonard, TX 75452-4965
Mailing address
801 Flanagan Rd
Leonard, TX 75452-4965
Phone (888) 613-2266
Other names
- Healing Counseling Center
Other providers in Leonard, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.