Organization Active NPI

Haven for Healing, Wellness and Restoration, LLC

  • Mental Health Counselor
  • Tallahassee, FL
National Provider Identifier
1588278196
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
HAVEN FOR HEALING, WELLNESS AND RESTORATION, LLC
Practice address
267 John Knox Rd Ste 202
Tallahassee, FL 32303-6692
Phone
(803) 800-4011
NPI assigned
Sep 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Authorized official

Name
Brittany Payne Bruce, LMHCNPI 1285011536
Title
Owner/Manager
Phone
(803) 800-4011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

267 John Knox Rd Ste 202
Tallahassee, FL 32303-6692

Mailing address

2892 E Park Ave Ste 2a
Tallahassee, FL 32301-3447
Phone (803) 800-4011

National Provider Directory

National Provider Directory

Locations

267 John Knox Rd
Ste 202
Tallahassee, FL 32303
Phone (803) 800-4011

2892 E Park Ave
Ste 2A
Tallahassee, FL 32301

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1588278196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2892 E PARK AVE STE 2A",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323013447",
            "telephone_number": "803-800-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 JOHN KNOX RD STE 202",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323036692",
            "telephone_number": "803-800-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN FOR HEALING, WELLNESS AND RESTORATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-01",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A",
        "authorized_official_last_name": "PAYNE BRUCE",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "803-800-4011",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.