Organization
THE HAVYN SPACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASMINE THOMAS MSN, APRN, PMHNP-BC (OWNER/PSYCHIATRIC MENTAL HEALTH NP)
(404) 282-5001
Entity
Organization
Contact information
Practice address
2751 BUFORD HWY NE STE 410, ATLANTA, GA 30324-5457
(404) 282-5001
Mailing address
PO BOX 250421, ATLANTA, GA 30325-1421
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/14/2025
Last updated
08/14/2025
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