Connection Haven Therapy, LLC

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

CONNECTION HAVEN THERAPY, LLC

Practice address

3839 Martinez Blvd Ste 2
Martinez, GA 30907-2666

Phone

(706) 310-5153

NPI assigned

Sep 14, 2021

Organization subpart

No

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

Authorized official

Name

Cassandre Elena Hudson, LCSWNPI 1487328050

Title

Clinical Social Worker

Phone

(706) 310-5153

Specialties & licenses 1

Addresses

Other names 1

• Small World Enrichment, LLC Former legal business name

Locations

Practitioners 2

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

• Cassandre Elena Dujour Hudson, LCSW

  • Clinical Social Worker
  • Martinez, GA
  • NPI 1487328050
  NPD Authorized official
• Kemoy Lebrane

  • Social Worker
  • Martinez, GA
  • NPI 1427771906
  NPD (past)

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1376213009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2032 HATTON CT",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309099834",
            "telephone_number": "404-429-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3839 MARTINEZ BLVD STE 2",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309072666",
            "telephone_number": "706-310-5153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTION HAVEN THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-14",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "CASSANDRE",
        "authorized_official_middle_name": "ELENA",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "706-310-5153",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Small World Enrichment, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Melissa Cohen, PHARM. D.
• Aaron B Cohrs, PT
• Kylee Colby, CTRS
• Malissa Yvette Collins, LPC
• Neshika L Coney-Devine
• Cheryl Lynn Connell, RN, CCRN, LMT, MMT
• Briana Cooter
• Tinchina Copeland
• Laura R Cordaro, OTRL
• Covenant Multispecialty Group

• Social Worker in Martinez, GA
• Providers in Martinez, GA by specialty
• Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.