Provider Demographics
NPI:1689356438
Name:THE HAVEN AT ISLANDS COUNSELING INC
Entity Type:Organization
Organization Name:THE HAVEN AT ISLANDS COUNSELING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:STACY
Authorized Official - Middle Name:
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-315-5432
Mailing Address - Street 1:PO BOX 1814
Mailing Address - Street 2:
Mailing Address - City:TYBEE ISLAND
Mailing Address - State:GA
Mailing Address - Zip Code:31328-1814
Mailing Address - Country:US
Mailing Address - Phone:912-373-6789
Mailing Address - Fax:
Practice Address - Street 1:200 BLUE FIN CIR STE 2
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31410-2468
Practice Address - Country:US
Practice Address - Phone:912-373-6789
Practice Address - Fax:912-257-4413
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TYBEE COUNSELING SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-08-02
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty