Whalio Doctors

NPI 1164925772

Safe Haven LLC

Organisation Community/Behavioral Health Agency Evansville, IN

Practice location

Address
2029 Washington Ave, Evansville, IN 47714-2257
Phone
(812) 602-4022
Fax
(812) 602-4023
Mailing address
629 Ingle St, Evansville, IN 47708-1345

Authorised official

Name
Michael G Hagedorn
Title
Managing Member
Phone
(812) 499-7950

Registered specialties (8)

Community/Behavioral Health Agency Primary
Agencies Taxonomy 251S00000X
Counselor
Behavioral Health & Social Service Providers Taxonomy 101Y00000X
Addiction (Substance Use Disorder) Counselor
Behavioral Health & Social Service Providers Taxonomy 101YA0400X
Mental Health Counselor
Behavioral Health & Social Service Providers Taxonomy 101YM0800X
Clinical Social Worker
Behavioral Health & Social Service Providers Taxonomy 1041C0700X
Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261Q00000X
Clinical Nurse Specialist
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364S00000X
Family Health Clinical Nurse Specialist
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SF0001X

Registry record

NPI
1164925772
Entity type
Organization
NPI issued
10 Mar 2018
Record last updated
29 Jun 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.