Whalio Doctors

NPI 1427774629

Mind Haven LLC

Organisation Public Health or Welfare Agency Lawrenceville, GA

Practice location

Address
1561 Bramlett Hill Ln, Lawrenceville, GA 30045-2601
Phone
(843) 364-4374

Authorised official

Name
Shonta Williams
Title
Mental Health Counselor
Phone
(843) 364-4374

Registered specialties (6)

Public Health or Welfare Agency Primary
Agencies Taxonomy 251K00000X
Mental Health Counselor
Behavioral Health & Social Service Providers Taxonomy 101YM0800X
Case Management Agency
Agencies Taxonomy 251B00000X
Community/Behavioral Health Agency
Agencies Taxonomy 251S00000X
In Home Supportive Care Agency
Agencies Taxonomy 253Z00000X
Child Mental Illness Respite Care
Respite Care Facility Taxonomy 385HR2055X

Registry record

NPI
1427774629
Entity type
Organization
NPI issued
18 Oct 2022
Record last updated
18 Oct 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.