| The Haven At Islands Counseling Inc | |
|
200 Blue Fin Cir Ste 2 Savannah GA 31410-2468 | |
| (912) 373-6789 | |
| (912) 257-4413 |
| Full Name | The Haven At Islands Counseling Inc |
|---|---|
| Speciality | Counselor |
| Location | 200 Blue Fin Cir Ste 2, Savannah, Georgia |
| Authorized Official Name and Position | Stacy Morgan (DIRECTOR) |
| Authorized Official Contact | 6783155432 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Haven At Islands Counseling Inc Po Box 1814 Tybee Island GA 31328-1814 Ph: (912) 373-6789 | The Haven At Islands Counseling Inc 200 Blue Fin Cir Ste 2 Savannah GA 31410-2468 Ph: (912) 373-6789 |
| NPI Number | 1689356438 |
|---|---|
| Provider Enumeration Date | 08/02/2023 |
| Last Update Date | 08/02/2023 |
| Certification Date | 08/02/2023 |
| Medicare PECOS PAC ID | 4587004288 |
|---|---|
| Medicare Enrollment ID | O20240429001832 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689356438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Kimberley A Simon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396046777 PECOS PAC ID: 9638358617 Enrollment ID: I20130717000598 |
| Provider Name | Kevin Tomberlin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235567025 PECOS PAC ID: 0446690036 Enrollment ID: I20240430001584 |
| Provider Name | Gloria Hance |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073751954 PECOS PAC ID: 5294175816 Enrollment ID: I20240430002833 |
| Provider Name | Kari Barrett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689884744 PECOS PAC ID: 9638519275 Enrollment ID: I20240430003754 |
| Provider Name | Maria Irwin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700302403 PECOS PAC ID: 9739529264 Enrollment ID: I20240501003098 |
| Provider Name | Kelli Suzanne Littlefield |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497085385 PECOS PAC ID: 3779913827 Enrollment ID: I20240501003522 |
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