MR. ROBERT W. DEHAVEN (NPI# 1023079555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023079555 |
| Entity Type | Individual |
| Full Name | MR. ROBERT W. DEHAVEN |
| Credential | M.S., NCC, LPC, DAPA |
| Practice Address |
121 Ray Rd Hazlehurst GA 31539-5119 |
| Practice Telephone | 4782969394 |
| Practice Fax Number | 4782969394 |
| Mailing Telephone | 4782969394 |
| Mailing Fax Number | 4782969394 |
| Enumeration Date | 2006-04-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YM0800X |
Counselor Specialization: Mental Health |
LPC003880 | GA | Behavioral Health & Social Service Providers |
| X | 101YP2500X |
Counselor Specialization: Professional |
LPC003880 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | CAQH | 11367944 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558495861 | Robert Todd Dehaven | Dentist | 2206 E 10th St, Anderson, IN 46012-4313 | 2007-03-16 |
| Street Address |
121 RAY RD |
| City | HAZLEHURST |
| State | GA |
| Zip Code | 31539-5119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134308562 | Dehaven Healthcare, Inc. | Community/Behavioral Health | 121 Ray Rd, Hazlehurst, GA 31539-5119 | 2007-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023536646 | Eric Wayne Carelock | Registered Nurse | 209 S Tallahassee St P O Box 770, Hazlehurst, GA 31539 | 2017-09-04 |
| 1720322464 | Tattnall Hospital Company, LLC | Orthopaedic Surgery | 38 S. Tallahassee Street, Suite B, Hazlehurst, GA 31539 | 2012-11-19 |
| 1003112376 | Rogers W Wood Jr. | Pharmacist | 54 E Jarman St, Hazlehurst, GA 31539 | 2011-02-04 |
| 1235361015 | Kirk Alessandro Munsayac | Family Medicine | 22 Cross Street, Hazlehurst, GA 31539 | 2009-08-13 |
| 1629135355 | Janie W Baxter | Chiropractor | 171 Burketts Ferry Road, Hazlehurst, GA 31539 | 2007-01-02 |
| 1003304981 | Jennifer Lynn Lowe | Nurse Practitioner | 9 Hester St, Hazlehurst, GA 31539 | 2018-04-26 |
| 1760708580 | Jason Laney | Internal Medicine | 209 S Tallahassee St, Hazlehurst, GA 31539 | 2010-04-19 |
| 1770889040 | Chips Discount Drugs Inc | Durable Medical Equipment & Medical Supplies | 240 S. Tallahassee St., Hazlehurst, GA 31539-0571 | 2011-02-04 |
| 1568730760 | David L Turfler Md PC | Family Medicine | 209 S Tallahassee St, Hazlehurst, GA 31539-0770 | 2011-12-02 |
| 1912902263 | Hospital Authority of Jeff Davis County Georgia | General Acute Care Hospital | 163 S Tallahassee St, Hazlehurst, GA 31539-1690 | 2005-06-14 |
| Find all providers in zip 31539 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780859 | Jennifer Lynn Fedderick | Counselor | 459 Thrasher Rd, Plains, GA 31780-5310 | 2020-11-04 |
| 1376144766 | Arlicia Lagene Johnson | Counselor | 220 Osmanthus Way, Canton, GA 30114-7197 | 2020-11-03 |
| 1558962027 | Evan Kauper | Counselor | 2002 Smith Dr Nw, Kennesaw, GA 30144-1851 | 2020-11-02 |
| 1801496864 | Poonam A Patel | Counselor | 2916 Clairmont Rd Ne Apt 2413, Brookhaven, GA 30329-4476 | 2020-10-29 |
| 1740880061 | Pledger Behavior Consulting, LLC | Counselor | 7563 Highway 337, Summerville, GA 30747-6101 | 2020-10-27 |
| 1801495411 | Bianca Tiara Abrams | Counselor | 916 Glenwood Park Dr Se, Atlanta, GA 30316-6845 | 2020-10-23 |
| 1780283713 | Stacey Dougan | Counselor | 696 Mountain Dr Ne, Atlanta, GA 30342-3904 | 2020-10-21 |
| 1619576865 | Therapy Pond, LLC | Counselor | 1262 Concord Rd Se Ste 200, Smyrna, GA 30080-5307 | 2020-10-20 |
| 1164021259 | Miracles Outreach International | Counselor | 6825 Jimmy Carter Blvd Ste 1570b, Norcross, GA 30071-1215 | 2020-10-20 |
| 1699374025 | Alexxis Trimmings | Counselor | 205 W Montgomery Xrd Apt 106, Savannah, GA 31406-7121 | 2020-10-17 |
| Find all providers with the same taxonomy | ||||
| City | HAZLEHURST |
| Zip Code | 31539 |
Please comment or provide details below to improve the information on MR. ROBERT W. DEHAVEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.