| Safe Haven Counseling, Llc | |
|
4094 Main St Ste 202 Hilliard OH 43026-3429 | |
| (614) 777-6373 | |
| (614) 777-6375 |
| Full Name | Safe Haven Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 4094 Main St Ste 202, Hilliard, Ohio |
| Authorized Official Name and Position | Sandra Lee Deas (COUNSELOR/SOLE PROPRIETOR) |
| Authorized Official Contact | 6143154190 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Safe Haven Counseling, Llc 4094 Main St Ste 202 Hilliard OH 43026-3429 Ph: (614) 777-6373 | Safe Haven Counseling, Llc 4094 Main St Ste 202 Hilliard OH 43026-3429 Ph: (614) 777-6373 |
| NPI Number | 1932651718 |
|---|---|
| Provider Enumeration Date | 10/27/2016 |
| Last Update Date | 10/27/2016 |
| Medicare PECOS PAC ID | 9234678301 |
|---|---|
| Medicare Enrollment ID | O20240903003585 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932651718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | E0600321 (Ohio) | Primary |
| 101YM0800X | Counselor - Mental Health | E0600321 (Ohio) | Secondary |
| 101YP2500X | Counselor - Professional | E0600321 (Ohio) | Secondary |
| Provider Name | Sandra Lee Deas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598083198 PECOS PAC ID: 0143769216 Enrollment ID: I20240903003649 |
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