| Children's Safe Haven Inc | |
|
1939 Goldsmith Lane Suite 130 Louisville KY 40218-3175 | |
| (502) 822-3178 | |
| (502) 822-3179 |
| Full Name | Children's Safe Haven Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1939 Goldsmith Lane, Louisville, Kentucky |
| Authorized Official Name and Position | Tonesha Denise Hearn (OWNER/EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5028223178 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Safe Haven Inc 1939 Goldsmith Lane Suite 130 Louisville KY 40218-3175 Ph: (502) 822-3178 | Children's Safe Haven Inc 1939 Goldsmith Lane Suite 130 Louisville KY 40218-3175 Ph: (502) 822-3178 |
| NPI Number | 1619511615 |
|---|---|
| Provider Enumeration Date | 11/01/2019 |
| Last Update Date | 05/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619511615 | NPI | - | NPPES |
| 7100638520 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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