Mind Haven Llc

LBN: Mind Haven Llc
Mind Haven Llc is an health care organization with primary practice located at 1561 Bramlett Hill Ln , Lawrenceville GA 30045-2601. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Agencies / Case Management, Agencies / Public Health or Welfare, Agencies / Community/Behavioral Health, Agencies / In Home Supportive Care, Respite Care Facility / Respite Care, Mental Illness, Child. Agencies / Public Health or Welfare is the primary health care specialty. Mind Haven Llc can be contacted via phone (843) 364-4374, or through Williams, Shonta via phone (843) 364-4374.

Contact Information

Primary practice address
1561 Bramlett Hill Ln Lawrenceville GA 30045-2601
Phone: (843) 364-4374
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Williams, Shonta Master of Arts (MA)
Phone: (843) 364-4374

Health care specialties

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

Profile Details

NPI number 1427774629
LBN Legal business name Mind Haven Llc
DBA Doing business as
Authorized official Williams, Shonta Master of Arts (MA)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2022
Last updated Oct 18th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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