Organization Active NPI

The Haven Center for Therapy and Wellness, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Owings Mills, MD
National Provider Identifier
1306488945
Registry record updated Jun 13, 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
THE HAVEN CENTER FOR THERAPY AND WELLNESS, LLC
Practice address
4552 Hidden Stream CT
Owings Mills, MD 21117
Phone
(443) 798-2450
Fax
(443) 898-9703
NPI assigned
Oct 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Authorized official

Name
India Simms, LCMFTNPI 1740615020
Title
Owner, Therapist
Phone
(443) 798-2450

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

4552 Hidden Stream CT
Owings Mills, MD 21117

Mailing address

1531 Rockville Pike # 1015
Rockville, MD 20852-1601
Phone (443) 798-2450

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1571097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1306488945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 ROCKVILLE PIKE # 1015",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521601",
            "telephone_number": "443-798-2450",
            "fax_number": "443-898-9703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4552 HIDDEN STREAM CT",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "21117",
            "telephone_number": "443-798-2450",
            "fax_number": "443-898-9703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HAVEN CENTER FOR THERAPY AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-15",
        "last_updated": "2023-06-13",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "SIMMS",
        "authorized_official_first_name": "INDIA",
        "authorized_official_title_or_position": "OWNER, THERAPIST",
        "authorized_official_telephone_number": "443-798-2450",
        "authorized_official_credential": "LCMFT"
    },
    "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 Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.