HAVEN OF SAFETY, INC. (NPI# 1063607653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063607653 |
| Entity Type | Organization |
| Organization Name | HAVEN OF SAFETY, INC. |
| Practice Address |
4150 Snapfinger Woods Dr Suite 208 Decatur GA 30035-3417 |
| Mailing Address |
4379 Luxembourg Dr Decatur GA 30034-5428 |
| Practice Telephone | 4045346720 |
| Practice Fax Number | 4045346722 |
| Mailing Telephone | 4045346720 |
| Mailing Fax Number | 4045346722 |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2007-09-07 |
| Authorized Official Name | MRS. WINIFRED GAYLE-BROWN (ADMINISTRATOR) |
| Authorized Official Telephone | 4045346720 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
044645D | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MHDDAD PROVIDER AGREEMENT | 4279383701100 | 01 |
| Street Address |
4150 SNAPFINGER WOODS DR SUITE 208 |
| City | DECATUR |
| State | GA |
| Zip Code | 30035-3417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245272210 | Tiffany Lee | Family Medicine | 4150 Snapfinger Woods Dr, Suite 100, Decatur, GA 30035-3417 | 2006-06-12 |
| 1821601279 | Badrun Zaman | Family Medicine | 4150 Snapfinger Woods Dr, Decatur, GA 30035-3417 | 2020-08-26 |
| 1235515958 | Whole Body Concept Chiropratic | Chiropractor | 4150 Snapfinger Woods Dr, Suite 210, Decatur, GA 30035-3417 | 2015-08-04 |
| 1952717910 | Total Integrative Health Center | Chiropractor | 4150 Snapfinger Woods Dr, Decatur, GA 30035-3417 | 2014-07-10 |
| 1225370497 | Priority Health, LLC | Family Medicine | 4150 Snapfinger Woods Dr, Suite 100, Decatur, GA 30035-3417 | 2013-03-26 |
| 1619242039 | Rst Medical Group | Clinic/Center | 4150 Snapfinger Woods Dr, 208, Decatur, GA 30035-3417 | 2012-03-19 |
| 1700895810 | Toni Whaley Miller | Dentist | 4150 Snapfinger Woods Dr, Suite 200, Decatur, GA 30035-3417 | 2006-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972079978 | James L Vinson, Phd | Home Health Aide | 4050 Snapfinger Woods Drive, Suite 201, Decatur, GA 30035 | 2018-10-17 |
| 1417445206 | Kamla Gonzales | Nurse Practitioner | 5146 Miller Woods Trl, Decatur, GA 30035 | 2018-04-26 |
| 1578924924 | Alicia Marie Johnson Bryant | Social Worker | 5878 Covington Hwy, Decater, GA 30035 | 2016-03-14 |
| 1568865756 | Tracy Roberson | Counselor | 4150 Snapfinger Woods Drive, Decatur, GA 30035 | 2014-10-01 |
| 1972927861 | Tyrone D. Lane Enterprises, Incorporated | Psychologist | 5304 Panola Industrial Boulevard, Suite L, Decatur, GA 30035 | 2014-02-12 |
| 1013255355 | Mervin E Williams | Pharmacist | 2075 South Hairston, Decatur, GA 30035 | 2013-01-22 |
| 1205187572 | Mariana Simpson-walker | Speech-Language Pathologist | 4262 Clausell Ct Ste A, Decatur, GA 30035 | 2012-09-27 |
| 1053683854 | Jimiesh G Crane | Dentist | 5243 Snapfinger Woods Dr Ste 105, Decatur, GA 30035 | 2012-02-08 |
| 1568765824 | Salih Robinson | Health Educator | 2511 Lantrac Ct, Decatur, GA 30035 | 2010-12-08 |
| 1831428234 | Thomas Counseling | Counselor | 3781 Presidential Parkway, Suite 111c, Chamblee, GA 30035 | 2009-12-14 |
| Find all providers in zip 30035 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043824014 | Magee Madry Counseling Services, LLC | Counselor | 2719 Apsley Way Sw, Decatur, AL 35603-3367 | 2020-09-07 |
| 1174141154 | Strong Counseling and Consulting | Counselor | 2107 N Decatur Rd Ste 711, Decatur, GA 30033-5305 | 2020-07-07 |
| 1982221917 | Jasmine Mcghee | Counselor | 2095 Manhattan Pkwy, Decatur, GA 30035-2252 | 2020-06-25 |
| 1851925218 | Nikkita Nelson | Counselor | 315 W Ponce De Leon Ave Ste 300, Decatur, GA 30030-2481 | 2020-02-25 |
| 1205476652 | Ameta Deborah Jasper | Counselor | 125 Clairemont Ave Ste 300, Decatur, GA 30030-2551 | 2020-01-14 |
| 1588208979 | Amanda Nesbitt | Counselor | 173 Pine Tree Cir, Decatur, GA 30032-1145 | 2019-10-29 |
| 1295386423 | Brentia J Caldwell | Counselor | 3205 River Shoals Cv, Decatur, GA 30034-6778 | 2019-09-29 |
| 1861044703 | Latasha Heinzen | Counselor | 2042 Beltline Rd Suite 120a, Decatur, AL 35602 | 2019-07-11 |
| 1831757418 | Jessica Stewart | Counselor | 755 Commerce Dr Ste 903, Decatur, GA 30030 | 2019-05-30 |
| 1386107811 | Chardonnay Patterson | Counselor | 3629 Occidental Ct, Decatur, GA 30034-5502 | 2019-04-11 |
| Find all providers in DECATUR | ||||
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| 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.