Provider Demographics
NPI:1972139871
Name:SAFE HAVEN COUNSELING LLC
Entity type:Organization
Organization Name:SAFE HAVEN COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:MERSINGER
Authorized Official - Suffix:JR
Authorized Official - Credentials:MS, LMFT
Authorized Official - Phone:941-840-8541
Mailing Address - Street 1:755 COLGATE RD
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34293-6412
Mailing Address - Country:US
Mailing Address - Phone:941-840-8541
Mailing Address - Fax:
Practice Address - Street 1:333 S. TAMIAMI TRAIL
Practice Address - Street 2:SUITE 284
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34285
Practice Address - Country:US
Practice Address - Phone:941-840-8541
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-23
Last Update Date:2020-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)