HAVEN FOR HEALING, WELLNESS AND RESTORATION, LLC (NPI# 1588278196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588278196 |
| Entity Type | Organization |
| Organization Name | HAVEN FOR HEALING, WELLNESS AND RESTORATION, LLC |
| Practice Address |
267 John Knox Rd Ste 202 Tallahassee FL 32303-6692 |
| Practice Telephone | 8038004011 |
| Mailing Telephone | 8038004011 |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-09-01 |
| Authorized Official Name | BRITTANY PAYNE BRUCE (OWNER/MANAGER) |
| Authorized Official Telephone | 8038004011 |
| Authorized Official Credential | LMHC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
267 JOHN KNOX RD STE 202 |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32303-6692 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285011536 | Brittany Payne Bruce | Counselor | 267 John Knox Rd Ste 202, Tallahassee, FL 32303-6692 | 2015-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679051601 | Anna Jacobs | Occupational Therapy Assistant | 6040 Michaela Way, Tallahassee, FL 32303 | 2018-08-01 |
| 1780101501 | Jacqueline Lee Barksdale | Social Worker | 975 Commonwealth Blvd, Tallahasse, FL 32303 | 2017-08-23 |
| 1780118547 | Osborne LLC | Social Worker | 1018 Thomasville Road, Tallahassee, FL 32303 | 2017-04-18 |
| 1528508215 | Klc Personal Care | Assisted Living Facility | 5743 Jodphur Ct, Tallahassee, FL 32303 | 2017-03-01 |
| 1285180109 | Jenetta R Nelson | Social Worker | 807 Goodbread Lane, Tallahassee, FL 32303 | 2016-08-31 |
| 1902359805 | Brandon Alkire | Physical Therapist | 1660 N. Monroe St, #3, Tallahassee, FL 32303 | 2016-07-27 |
| 1093050957 | Kenneth A. Folsom | Hearing Instrument Specialist | 903 N Monroe St, #3, Tallahassee, FL 32303 | 2012-12-04 |
| 1235481466 | Annika Elizabeth Suarez | Speech-Language Pathologist | 1808 Medart Dr, Tallahassee, FL 32303 | 2012-10-11 |
| 1912257510 | David Voorting | Social Worker | 3107 Evanshire Place, Tallahassee, FL 32303 | 2012-09-12 |
| 1760754816 | Catherine Cleveland Smith | Physical Therapy Assistant | 5020 Riverwood Rd, Tallahassee, FL 32303 | 2012-02-06 |
| Find all providers in zip 32303 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773395 | Keshia Latoya Coffie | Counselor | 1833 Halstead Blvd Apt 407, Tallahassee, FL 32309-3472 | 2020-08-31 |
| 1063023059 | Sarah Farmer | Counselor | 1910 Longview Dr, Tallahassee, FL 32303-7322 | 2020-08-12 |
| 1316558729 | Megan Dasbach | Counselor | 1120 Carissa Dr, Tallahassee, FL 32308-5219 | 2020-08-11 |
| 1972113819 | Alyssa L Lapp | Counselor | 317 Stone House Rd, Tallahassee, FL 32301-3355 | 2020-08-05 |
| 1023635885 | Kimberly Damron | Counselor | 1624 Norwood Ln, Tallahassee, FL 32312-4115 | 2020-06-28 |
| 1083242309 | Sarah Jane Burke | Counselor | 1009 Pine St, Tallahassee, FL 32303-6437 | 2020-03-31 |
| 1578198248 | Thomson Ivins | Counselor | 175 Geddie Rd, Tallahassee, FL 32304 | 2020-03-03 |
| 1285270520 | Norine Cardea | Counselor | The Healing Center, 847 East Park Avenue, Tallahassee, FL 32301 | 2019-11-21 |
| 1184268203 | Josue Jean | Counselor | 1111 High Rd Apt C101, Tallahassee, FL 32304-1835 | 2019-10-31 |
| 1427609700 | Rene Blue | Counselor | 2750 Old Saint Augustine Rd Apt Q173, Tallahassee, FL 32301-6228 | 2019-09-27 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32303 |
Please comment or provide details below to improve the information on HAVEN FOR HEALING, WELLNESS AND RESTORATION, LLC.
| 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.