Haven of Tioga County

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

HAVEN OF TIOGA COUNTY

Practice address

48 East Ave
Wellsboro, PA 16901-1714

Phone

(570) 724-3549

Fax

(570) 724-1361

NPI assigned

Sep 27, 2019

Organization subpart

No

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

Authorized official

Name

Elizabeth A BlantonNPI 1871051326

Title

Mental Health Therapist

Phone

(570) 634-3420

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Elizabeth A Blanton, LCSW

  • Mental Health Counselor
  • Wellsboro, PA
  • NPI 1871051326
  NPD Authorized official

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569542400000",
    "number": "1710538020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 EAST AVE",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169011714",
            "telephone_number": "570-724-3549",
            "fax_number": "570-724-1361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 EAST AVE",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169011714",
            "telephone_number": "570-724-3549",
            "fax_number": "570-724-1361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN OF TIOGA COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-27",
        "last_updated": "2019-09-27",
        "status": "A",
        "authorized_official_last_name": "BLANTON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "570-634-3420"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Hafner, PA-C
• Jessie Leigh Hamilton, DPT, OCS
• Harbor Counseling
• Lisa Lynnelle Harpst, MD
• Jane Harris
• Richard Hayford, MS, BSL
• Jenna Elaine Haynes, COTA/L
• Jennifer Renee Heck, COTA
• Jessica Heintz, PHARMD
• Christian Herbster

• Mental Health Clinic/Center (Including Community Mental Health Center) in Wellsboro, PA
• Providers in Wellsboro, PA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; 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.