The Olive Haven Counseling Center, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

THE OLIVE HAVEN COUNSELING CENTER, LLC

Practice address

118 Wills Way
Griffin, GA 30223-8799

Phone

(470) 402-2226

NPI assigned

Dec 15, 2025

Organization subpart

No

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

Authorized official

Name

Shaylon Jackson, LPCNPI 1699148239

Title

Owner

Phone

(678) 814-7559

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shaylon Jackson

  • Mental Health Counselor
  • McDonough, GA
  • NPI 1699148239
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1765756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1366306136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 WILLS WAY",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302238799",
            "telephone_number": "470-402-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 WILLS WAY",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302238799",
            "telephone_number": "470-402-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE OLIVE HAVEN COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-15",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "SHAYLON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-814-7559",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Griffin, GA
• Providers in Griffin, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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.