Organization
HAVEN FOR SUCCESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EBONY PEAVY (EXECUTIVE DIRECTOR)
(346) 291-0675
Entity
Organization
Contact information
Practice address
9258 SOLVISTA PASS LN, HOUSTON, TX 77070-2146
(346) 291-0675
Mailing address
PO BOX 30313, HOUSTON, TX 77249-0313
(832) 217-9306
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
172A00000X
Driver
—
—
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253J00000X
Foster Care Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
310400000X
Assisted Living Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
07/12/2021
Last updated
08/02/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up