Organization
SAFE HAVEN HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN KONATA GREEN DNP (CO OWNER)
(404) 435-9441
Entity
Organization
Contact information
Practice address
103 CONTINENTAL PL STE 120, BRENTWOOD, TN 37027-1086
(404) 435-9441
Mailing address
1309 CONCORD MILL LN, NASHVILLE, TN 37211-8632
(404) 435-9441
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
—
—
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
—
—
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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