Active NPI
Haven Support Services, Inc.
- Mental Health Counselor
- Rome, GA
National Provider Identifier
1336090729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- HAVEN SUPPORT SERVICES, INC.
- Practice address
- 512 Riverside Pkwy NE Ste 701
Rome, GA 30161-2910 - Phone
- (706) 266-0756
- Fax
- (706) 625-7660
- NPI assigned
- Feb 3, 2026
- 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
- Brittny Kinnebrew
- Title
- Executive Director
- Phone
- (706) 266-0756
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
512 Riverside Pkwy NE Ste 701
Rome, GA 30161-2910
Mailing address
512 Riverside Pkwy NE Ste 701
Rome, GA 30161-2910
Phone (706) 266-0756
National Provider Directory
National Provider DirectoryLocations
512 Riverside Pkwy NE
Ste 701
Rome, GA 30161
Phone (678) 813-1715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770076800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770076800000",
"number": "1336090729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "512 RIVERSIDE PKWY NE STE 701",
"city": "ROME",
"state": "GA",
"postal_code": "301612910",
"telephone_number": "706-266-0756",
"fax_number": "706-625-7660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "512 RIVERSIDE PKWY NE STE 701",
"city": "ROME",
"state": "GA",
"postal_code": "301612910",
"telephone_number": "706-266-0756",
"fax_number": "706-625-7660"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAVEN SUPPORT SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-03",
"last_updated": "2026-02-03",
"certification_date": "2026-02-03",
"status": "A",
"authorized_official_last_name": "KINNEBREW",
"authorized_official_first_name": "BRITTNY",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "706-266-0756"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rome, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.