Organization Active NPI

Haven Support Services, Inc.

  • Mental Health Counselor
  • Rome, GA
National Provider Identifier
1336090729
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Feb 3, 2026

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.