Active NPI
Safe Harbor Haven Inc.
Doing business as Safe Harbor Boys Home
- Mental Health Counselor
- Jacksonville, FL
National Provider Identifier
1578807400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH5256
- Legal business name
- SAFE HARBOR HAVEN INC.
- Doing business as
- Safe Harbor Boys Home
- Practice address
- 4772 Safe Harbor Way
Jacksonville, FL 32226-4024 - Phone
- (904) 757-7918
- Fax
- (904) 757-2504
- NPI assigned
- Nov 15, 2012
- Last updated
- Nov 15, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Robbie Smith, LMHC
- Title
- Clinical Director
- Phone
- (904) 757-7918
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH5256 | FL | Primary |
Addresses
Primary practice location
4772 Safe Harbor Way
Jacksonville, FL 32226-4024
Mailing address
4772 Safe Harbor Way
Jacksonville, FL 32226-4024
Phone (904) 757-7918
Other names 1
- Safe Harbor Boys Home
National Provider Directory
National Provider DirectoryLocations
4772 Safe Harbor Way
Jacksonville, FL 32226
Phone (904) 757-7918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352937600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1352937600000",
"number": "1578807400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4772 SAFE HARBOR WAY",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322264024",
"telephone_number": "904-757-7918",
"fax_number": "904-757-2504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4772 SAFE HARBOR WAY",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322264024",
"telephone_number": "904-757-7918",
"fax_number": "904-757-2504"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAFE HARBOR HAVEN INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-15",
"last_updated": "2012-11-15",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "ROBBIE",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "904-757-7918",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH5256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Safe Harbor Boys Home",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jacksonville, FL
- Amy Colleen Saelinger, LMHC
- Jean Franc Saenz Maisonet, MD
- Kenda Safar, RDN
- Sandra Safar
- Valeriy Safarov
- Safe Keeping Healthcare Solutions
- Safe Strides Consulting and Remodeling LLC (Safe Strides Consulting)
- Safe-Lite Optical Company, Inc.
- Safekeeping Support Services, LLC
- Safepoint Occupational Health Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.