Ivy Haven Counseling and Consulting LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

IVY HAVEN COUNSELING AND CONSULTING LLC

Practice address

1561 Bramlett Hill LN
Lawrenceville, GA 30045-2601

Phone

(843) 364-4374

NPI assigned

Jul 11, 2021

Last updated

Jul 11, 2021By 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

Shonta Williams

Title

Mental Health Counselor

Phone

(843) 364-4374

Specialties & licenses 6

Addresses

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

{
    "created_epoch": "1625961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625961600000",
    "number": "1912579921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1561 BRAMLETT HILL LN",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300452601",
            "telephone_number": "843-364-4374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1561 BRAMLETT HILL LN",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300452601",
            "telephone_number": "843-364-4374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVY HAVEN COUNSELING AND CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-11",
        "last_updated": "2021-07-11",
        "certification_date": "2021-07-11",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SHONTA",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "843-364-4374"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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
        },
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Mazie Itzie, PA-C
• Alexandre Ivanov
• Pamela S Ives, CRNA
• Jenifer Ivester, BCBA
• Tammy Ivie, PT
• Ivy League Pediatrics
• Lovinda Iwhere, NP
• Isabella Iwu
• Felicia Nainesh Iyengar, DO
• Melissa O'Connor Iyoyo, MD

• Community/Behavioral Health Agency in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2021; 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.