# SAFE HAVEN TRAUMA SERVICES, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194397885
- **Authorized official:** SAMUEL BOWLER (OPERATIONS MANAGER)
- **Authorized official phone:** (503) 523-9524

## Contact information

- **Practice address:** 2505 21ST AVE S STE 303, NASHVILLE, TN 37212-5652
- **Practice address phone:** (615) 241-6130
- **Mailing address:** 2505 21ST AVE S STE 303, NASHVILLE, TN 37212-5652

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 07/13/2021
- **Last updated:** 07/13/2021