Haven Behavioral Services of South Atlanta, LLC

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

Legal business name

HAVEN BEHAVIORAL SERVICES OF SOUTH ATLANTA, LLC

Practice address

1170 Cleveland Ave
East Point, GA 30344-3615

Phone

(404) 209-8700

Fax

(404) 209-8555

NPI assigned

Feb 12, 2009

Organization subpart

Yes

Parent organization

HAVEN BEHAVIORAL SERVICES, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Kirk D. McConnell

Title

Vice President

Phone

(615) 250-9160

Specialties & licenses 1

Addresses

Other names 1

• Haven Behavioral Senior Care at South Fulton Medical Center Doing business as

Part of

Tara Littlejohn Gonzales MD - Arbor Pediatrics

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

{
    "created_epoch": "1234396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234396800000",
    "number": "1639318785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 W IRIS DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372043191",
            "telephone_number": "615-250-9500",
            "fax_number": "615-250-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 CLEVELAND AVE",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303443615",
            "telephone_number": "404-209-8700",
            "fax_number": "404-209-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN BEHAVIORAL SERVICES OF SOUTH ATLANTA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HAVEN BEHAVIORAL SERVICES, LLC",
        "enumeration_date": "2009-02-12",
        "last_updated": "2009-02-12",
        "status": "A",
        "authorized_official_last_name": "MCCONNELL",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "615-250-9160",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haven Behavioral Senior Care at South Fulton Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Harrington Global Healthcare, LLC
• Joanna Lynn Harris-Worelds, EDD, MSDH, RDH
• Aeriel Harris
• Yolanda Michelle Harris
• Bianca Harrison, CCC-SLP
• Muhammad H Hawasli, MD
• Monica Hawes
• Trina H Hawkins, GNP
• Gweneth Martin Hayes, PH.D.
• Scott Allen Hayes, LCSW

• Psychiatric Hospital in East Point, GA
• Providers in East Point, GA by specialty
• Psychiatric Hospital in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; 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.