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Organization

CHILDREN'S SAFE HAVEN INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TONESHA DENISE HEARN (OWNER/EXECUTIVE DIRECTOR)
(502) 822-3178
Entity
Organization

Contact information

Practice address
1939 GOLDSMITH LANE, SUITE 130, LOUISVILLE, KY 40218-3175
(502) 822-3178
(502) 822-3179
Mailing address
1939 GOLDSMITH LANE, SUITE 130, LOUISVILLE, KY 40218-3175
(502) 822-3178
(502) 822-3179

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1041C0700X
Clinical Social Worker

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100638520
KY
Enumeration date
11/01/2019
Last updated
05/14/2024
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