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Organization

SAFE HAVEN CHILD AND FAMILY COUNSELING SERVICES,LLC

Active
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Organization

SAFE HAVEN CHILD AND FAMILY COUNSELING SERVICES,LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. COSSSANDRA EVETTE MILLER LCSW (PSYCHOTHERAPIST)
(704) 763-9555
Entity
Organization

Contact information

Practice address
233 S SHARON AMITY RD STE 102, CHARLOTTE, NC 28211-2893
(704) 763-9555
(704) 709-8580
Mailing address
233 S SHARON AMITY RD STE 102, CHARLOTTE, NC 28211-2893
(704) 763-5555
(704) 709-8580

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
C005101
NC
251S00000X
Community/Behavioral Health Agency
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005705
—
NC
Enumeration date
07/12/2007
Last updated
05/15/2024
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