Blue Haven Wellness & Support LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

BLUE HAVEN WELLNESS & SUPPORT LLC

Practice address

17350 State Highway 249 Ste 22031161
Houston, TX 77064-1147

Phone

(972) 503-5427

NPI assigned

Sep 19, 2025

Organization subpart

No

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

Authorized official

Name

Choncere Watson

Title

Ceo

Phone

(972) 503-5427

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1758240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1821960923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17350 STATE HIGHWAY 249 STE 220",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770641132",
            "telephone_number": "972-503-5427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17350 STATE HIGHWAY 249 STE 22031161",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770641147",
            "telephone_number": "972-503-5427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE HAVEN WELLNESS & SUPPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-19",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "CHONCERE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-503-5427"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Blue Gems ABA TX LLC
• Blue Haven Counseling PLLC
• Blue Horizon Home Health LLC
• Blue Mint Pharmacy
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• Blue Ocean RX
• Blue Ribbon Healthcare Services Inc

• Case Management Agency in Houston, TX
• Providers in Houston, TX by specialty
• Case Management Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.