Organization Active NPI

Safe Haven Counseling Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lawrenceville, VA
National Provider Identifier
1780305698
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SAFE HAVEN COUNSELING SERVICES, LLC
Practice address
233 N Main St Ste B
Lawrenceville, VA 23868-1807
Phone
(434) 594-6692
NPI assigned
Sep 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Authorized official

Name
Holton Ariel Daniel, LPC, CSOTP, CCTPNPI 1366001695
Title
Licensed Professional Counselor
Phone
(434) 594-6692

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

233 N Main St Ste B
Lawrenceville, VA 23868-1807

Mailing address

233 N Main St Ste B
Lawrenceville, VA 23868-1807
Phone (434) 594-6692

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL safehavenlpc@gmail.com Direct

National Provider Directory

National Provider Directory

Locations

233 N Main St
Ste B
Lawrenceville, VA 23868
Phone (434) 594-6692

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": "1662595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662595200000",
    "number": "1780305698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 N MAIN ST STE B",
            "city": "LAWRENCEVILLE",
            "state": "VA",
            "postal_code": "238681807",
            "telephone_number": "434-594-6692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 N MAIN ST STE B",
            "city": "LAWRENCEVILLE",
            "state": "VA",
            "postal_code": "238681807",
            "telephone_number": "434-594-6692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HAVEN COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-08",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "HOLTON",
        "authorized_official_middle_name": "ARIEL",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "434-594-6692",
        "authorized_official_credential": "LPC, CSOTP, CCTP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "safehavenlpc@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Email",
            "address_1": "233 N Main St Ste B",
            "city": "Lawrenceville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "238681807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lawrenceville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.