Halo Havens Residential LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

HALO HAVENS RESIDENTIAL LLC

Practice address

1515 Mockingbird LN # 420
Charlotte, NC 28209-3236

Phone

(866) 824-7799

Fax

(704) 920-0881

NPI assigned

May 4, 2026

Last updated

May 19, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kiyonna Morgan, MORGAN

Title

Owner/Operator

Phone

(704) 920-0881

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1777852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779148800000",
    "number": "1396672515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9027 TIBBLE CREEK WAY",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282276670",
            "telephone_number": "704-920-0881",
            "fax_number": "704-920-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 MOCKINGBIRD LN # 420",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282093236",
            "telephone_number": "866-824-7799",
            "fax_number": "704-920-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALO HAVENS RESIDENTIAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-04",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "KIYONNA",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "704-920-0881",
        "authorized_official_credential": "MORGAN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia W. Hallmark
• Anna Lillian Hallock, PA-C
• Sarah Hallock
• Thomas M Halloran, LAT, ATC
• Caril Elizabeth Halmrast
• Halo Home Care LLC
• Halos Counseling (Halos Counseling Charlotte)
• Tara Lynn Halpin, PA
• Heather Keller Halsch, RNFA
• Morgan Ellese Halsey, LCSWA

• Community/Behavioral Health Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.