NPI 1427774629
Mind Haven LLC
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
Mental Health Counselor
Case Management Agency
Community/Behavioral Health Agency
In Home Supportive Care Agency
Child Mental Illness Respite Care
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.