Provider Demographics
NPI:1346852290
Name:SAFE HARBOR COUNSELING, PLLC
Entity Type:Organization
Organization Name:SAFE HARBOR COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PROVIDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:IRENE
Authorized Official - Last Name:DAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:252-571-2661
Mailing Address - Street 1:111 ROSEGARTEN CT
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562-1016
Mailing Address - Country:US
Mailing Address - Phone:252-571-2661
Mailing Address - Fax:
Practice Address - Street 1:300 S JIMMIES CREEK DR
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562-3704
Practice Address - Country:US
Practice Address - Phone:252-633-5356
Practice Address - Fax:252-633-5365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-21
Last Update Date:2020-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty