Provider Demographics
NPI:1932651718
Name:SAFE HAVEN COUNSELING, LLC
Entity Type:Organization
Organization Name:SAFE HAVEN COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR/SOLE PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:DEAS
Authorized Official - Suffix:
Authorized Official - Credentials:MS LPCC
Authorized Official - Phone:614-315-4190
Mailing Address - Street 1:4094 MAIN ST STE 202
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-3429
Mailing Address - Country:US
Mailing Address - Phone:614-777-6373
Mailing Address - Fax:614-777-6375
Practice Address - Street 1:4094 MAIN ST STE 202
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-3429
Practice Address - Country:US
Practice Address - Phone:614-777-6373
Practice Address - Fax:614-777-6375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-27
Last Update Date:2016-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0600321101Y00000X, 101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty