Serenity Haven Recovery

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

SERENITY HAVEN RECOVERY

Practice address

4734 Liddell Shortcut Rd
Seven Springs, NC 28578-9469

Phone

(336) 402-1527

NPI assigned

Mar 4, 2024

Last updated

Mar 4, 2024By 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

Mr. Melissa Ann Goyen, LQMHP, LCAS, CCS-INPI 1124474291

Title

Owner/Ceo

Phone

(336) 402-1527

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melissa Ann Goyen, LQMHP, LCAS, CSI, SA

  • Addiction (Substance Use Disorder) Counselor
  • Seven Springs, NC
  • NPI 1124474291
  NPD Authorized official

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1902663172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4734 LIDDELL SHORTCUT RD",
            "city": "SEVEN SPRINGS",
            "state": "NC",
            "postal_code": "285789469",
            "telephone_number": "336-402-1527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4734 LIDDELL SHORTCUT RD",
            "city": "SEVEN SPRINGS",
            "state": "NC",
            "postal_code": "285789469",
            "telephone_number": "336-402-1527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HAVEN RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "GOYEN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "336-402-1527",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LQMHP, LCAS, CCS-I"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aspirations by Achovia PLLC
• Barnes Family Care #2
• Carolina East Home Care & Hospice
• Carolina East Home Care & Hospice, Inc.
• Melissa Ann Goyen, LQMHP, LCAS, CSI, SA
• Seven Springs Al (C&E Assisted Living INC.)

• Addiction (Substance Use Disorder) Counselor in Seven Springs, NC
• Providers in Seven Springs, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.