Marys Safe Haven LLC

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

MARYS SAFE HAVEN LLC

Practice address

755 Mountain Ridge Way
Lithonia, GA 30058-2923

Phone

(470) 432-6992

NPI assigned

Nov 15, 2025

Last updated

Nov 15, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Latonya McQueen

Title

Ceo

Phone

(470) 432-6992

Specialties & licenses 8

Addresses

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

{
    "created_epoch": "1763164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763164800000",
    "number": "1780544379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 MOUNTAIN RIDGE WAY",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300582923",
            "telephone_number": "470-432-6992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 MOUNTAIN RIDGE WAY",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300582923",
            "telephone_number": "470-432-6992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYS SAFE HAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-15",
        "last_updated": "2025-11-15",
        "certification_date": "2025-11-14",
        "status": "A",
        "authorized_official_last_name": "MCQUEEN",
        "authorized_official_first_name": "LATONYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "470-432-6992"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikeyera Marshall
• Latoria Martin, LNHA, BSN
• Quinita Shantell Martin, NP
• Leanne Harris Martinelli, PA-C
• Sandra Diane Maryman, MD
• Camonie Mason
• Sheila Vernice Mason, OTRL
• Mastermind Counseling Services
• Vivin Mathew, M.D.
• Dileane Matthews, REGISTERED NURSE

• Contractor in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Contractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2025; 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.