Provider Demographics
NPI:1629823026
Name:DEVINE HAVEN COUNSELING, LLC
Entity Type:Organization
Organization Name:DEVINE HAVEN COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NAKELEE
Authorized Official - Middle Name:
Authorized Official - Last Name:SAAH
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:301-793-5104
Mailing Address - Street 1:1401 BLAIR MILL RD APT 409
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-4817
Mailing Address - Country:US
Mailing Address - Phone:202-713-1105
Mailing Address - Fax:
Practice Address - Street 1:10770 COLUMBIA PIKE STE 300
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-4439
Practice Address - Country:US
Practice Address - Phone:301-793-5104
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-19
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty