Safe Haven Therapy

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SAFE HAVEN THERAPY

Practice address

2625 Harmony Park Xing
Spring, TX 77386-4475

Phone

(832) 324-5318

Fax

(940) 260-7988

NPI assigned

May 27, 2024

Organization subpart

No

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

Authorized official

Name

Gerishia Victoria Davis, LCSWNPI 1043936883

Title

Lead Clinician

Phone

(940) 260-7926

Specialties & licenses 3

Addresses

Other names 1

• GERISHIA VICTORIA DAVIS, LCSW Other name

Locations

Practitioners 1

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

• Gerishia Victoria Davis, LCSW

  • Clinical Social Worker
  • Spring, TX
  • NPI 1043936883
  NPD Authorized official

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

{
    "created_epoch": "1716768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716768000000",
    "number": "1376383687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3431 RAYFORD RD # 200-155",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773864943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 HARMONY PARK XING",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773864475",
            "telephone_number": "832-324-5318",
            "fax_number": "940-260-7988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HAVEN THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-27",
        "last_updated": "2024-05-27",
        "certification_date": "2024-05-26",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "GERISHIA",
        "authorized_official_middle_name": "VICTORIA",
        "authorized_official_title_or_position": "LEAD CLINICIAN",
        "authorized_official_telephone_number": "940-260-7926",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GERISHIA VICTORIA DAVIS, LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Mental Health Counselor in Spring, TX
• Providers in Spring, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.