Organization
SAFE HAVEN COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HEIDI MONROE LICSW (CLINICAL SOCIAL WORKER)
(401) 536-9474
Entity
Organization
Contact information
Practice address
1 RICHMOND SQ, SUITE 124C, PROVIDENCE, RI 02906-5139
(401) 536-9474
(401) 751-8997
Mailing address
1 RICHMOND SQ, SUITE 124C, PROVIDENCE, RI 02906-5139
(401) 536-9474
(401) 751-8997
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW02249
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0034475
MEDICARE PTAN
RI
Enumeration date
08/01/2013
Last updated
11/27/2013
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