| Safe Haven Child And Family Counseling Services,llc | |
|
233 S Sharon Amity Rd Ste 102 Charlotte NC 28211-2893 | |
| (704) 763-9555 | |
| (704) 709-8580 |
| Full Name | Safe Haven Child And Family Counseling Services,llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 233 S Sharon Amity Rd Ste 102, Charlotte, North Carolina |
| Authorized Official Name and Position | Cosssandra Evette Miller (PSYCHOTHERAPIST) |
| Authorized Official Contact | 7047639555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Safe Haven Child And Family Counseling Services,llc 233 S Sharon Amity Rd Ste 102 Charlotte NC 28211-2893 Ph: (704) 763-5555 | Safe Haven Child And Family Counseling Services,llc 233 S Sharon Amity Rd Ste 102 Charlotte NC 28211-2893 Ph: (704) 763-9555 |
| NPI Number | 1851590558 |
|---|---|
| Provider Enumeration Date | 07/12/2007 |
| Last Update Date | 05/15/2024 |
| Certification Date | 05/15/2024 |
| Medicare PECOS PAC ID | 7113005885 |
|---|---|
| Medicare Enrollment ID | O20080421000480 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851590558 | NPI | - | NPPES |
| 6005705 | Medicaid | NC |
| Provider Name | Cossandra Evette Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982798179 PECOS PAC ID: 5395823066 Enrollment ID: I20080421000477 |
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