Safehaven Counseling Services,LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

SAFEHAVEN COUNSELING SERVICES,LLC

Practice address

2792 US Highway 80 W
Dublin, GA 31021-0907

Phone

(478) 278-3328

NPI assigned

Jan 7, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Sandra Dianne Gilmore, LPC/RN

Title

Owner

Phone

(478) 278-3328

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1452124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452124800000",
    "number": "1710343645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4004 TURKEY CREEK RD",
            "city": "DANVILLE",
            "state": "GA",
            "postal_code": "310172021",
            "telephone_number": "478-962-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2792 US HIGHWAY 80 W",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310210907",
            "telephone_number": "478-278-3328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFEHAVEN COUNSELING SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-07",
        "last_updated": "2016-01-07",
        "status": "A",
        "authorized_official_last_name": "GILMORE",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "DIANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-278-3328",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC/RN"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Dublin, GA
• Providers in Dublin, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; 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.