HAVEN MINISTRIES, INC. @ AGAPE (NPI# 1164735254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164735254 |
| Entity Type | Organization |
| Organization Name | HAVEN MINISTRIES, INC. @ AGAPE |
| Practice Address |
3725b Wrightsville Ave Wilmington NC 28403-4140 |
| Mailing Address |
7212 Oyster Ln Wilmington NC 28411-7132 |
| Practice Telephone | 9108031620 |
| Practice Fax Number | 2159024882 |
| Mailing Telephone | 9108031620 |
| Mailing Fax Number | 2159024882 |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2010-07-19 |
| Authorized Official Name | DR. DWIGHT HOWARD LYSNE (DIRECTOR) |
| Authorized Official Telephone | 9108031620 |
| Authorized Official Credential | MD, MDIV |
| Is Organization Subpart | Y |
| Parent Organization Name | HAVEN MINISTRIES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
200301378 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
3725B WRIGHTSVILLE AVE |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28403-4140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861705956 | Haven Ministries, Inc. | Psychiatry & Neurology | 3725b Wrightsville Ave, Wilmington, NC 28403-4140 | 2010-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413875 | Ymca of Southeastern Nc | Health Educator | 2710 Market Street, Wilmington, NC 28403 | 2020-09-25 |
| 1659917334 | Noa Alper | Occupational Therapist | 5412 Old Garden Road, Wilmington, NC 28403 | 2019-11-18 |
| 1992346340 | Nancy Rosita Carson | Technician | 5608 Locke Str. Apt 108, Wilmington, NC 28403 | 2019-10-07 |
| 1912484585 | Jennifer Nicole Perry | Behavior Technician | 349 Campus Cv, Wilmington, NC 28403 | 2018-07-25 |
| 1386159929 | Monumental Foundations LLC | Clinic/Center | Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 | 2017-12-05 |
| 1114445731 | Jacqulyn Craichy | Speech-Language Pathologist | 75 Cavalier Drive, Wilmington, NC 28403 | 2017-09-04 |
| 1730638545 | Ashley Mcneil | Durable Medical Equipment & Medical Supplies | 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 | 2016-09-22 |
| 1306204276 | Valerie Pringle Jones | Physical Therapist | 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 | 2016-02-05 |
| 1689039992 | Lifeline Treatment Center | Clinic/Center | 5710 Oleander Dr Ste 100, Wilmington, NC 28403 | 2015-12-31 |
| 1750758264 | Melissa Beatson | Speech-Language Pathologist | 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 | 2015-09-01 |
| Find all providers in zip 28403 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861705956 | Haven Ministries, Inc. | Psychiatry & Neurology | 3725b Wrightsville Ave, Wilmington, NC 28403-4140 | 2010-07-19 |
| 1902046832 | Yadvinder K Sandhu | Psychiatry & Neurology | 3229 S College Rd, Wilmington, NC 28412-6740 | 2009-03-05 |
| 1811192065 | Maria Annette Mccarthy | Psychiatry & Neurology | 501 W 14th St Ste 1e40, Wilmington, DE 19801-1013 | 2007-06-18 |
| 1467502773 | Imran Trimzi | Psychiatry & Neurology | 5163 W Woodmill Dr Ste 13, Wilmington, DE 19808-4067 | 2007-01-11 |
| 1083679062 | Dwight H Lysne | Psychiatry & Neurology | 20 S 16th St, Wilmington, NC 28401-4924 | 2006-04-20 |
| 1205442688 | Saurabh Gupta Md LLC | Psychiatry & Neurology | 410 Foulk Rd Ste 106, Wilmington, DE 19803-3835 | 2020-09-21 |
| 1093200479 | Allison Taylor Dovi | Psychiatry & Neurology | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2018-06-27 |
| 1063943371 | Jenine Weber | Psychiatry & Neurology | 825 N Washington St, Wilmington, DE 19801-1509 | 2017-03-27 |
| 1326306267 | Zachariah D. Pranckun | Psychiatry & Neurology | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2012-04-29 |
| 1942568142 | Amanda Cassel Castro | Psychiatry & Neurology | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2012-04-25 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28403 |
Please comment or provide details below to improve the information on HAVEN MINISTRIES, INC. @ AGAPE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.