Provider Demographics
NPI:1740158070
Name:BELOVED SAFE HAVEN
Entity type:Organization
Organization Name:BELOVED SAFE HAVEN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:JOANNA
Authorized Official - Middle Name:LATRICE
Authorized Official - Last Name:HARPER
Authorized Official - Suffix:
Authorized Official - Credentials:DBHDS
Authorized Official - Phone:757-782-0686
Mailing Address - Street 1:1007 KECOUGHTAN RD
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23661-2720
Mailing Address - Country:US
Mailing Address - Phone:757-782-0686
Mailing Address - Fax:
Practice Address - Street 1:1007 KECOUGHTAN RD
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23661-2720
Practice Address - Country:US
Practice Address - Phone:757-782-0686
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-28
Last Update Date:2025-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness