Provider Demographics
NPI:1679355093
Name:SAFE HAVEN THERAPY SERVICES
Entity Type:Organization
Organization Name:SAFE HAVEN THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:D'SHAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:MED, LGPC, NCC
Authorized Official - Phone:410-900-7142
Mailing Address - Street 1:9420 CHARLOTTES LN
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-2477
Mailing Address - Country:US
Mailing Address - Phone:410-900-7142
Mailing Address - Fax:
Practice Address - Street 1:9420 CHARLOTTES LN
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-2477
Practice Address - Country:US
Practice Address - Phone:410-900-7142
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-19
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty