Healthcare Provider Details

I. General information

NPI: 1578592861
Provider Name (Legal Business Name): BLUE HAVEN COUNSELING SERVICES, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1675 BLOWING ROCK RD SUITE 400
BOONE NC
28607-6103
US

IV. Provider business mailing address

1675 BLOWING ROCK RD SUITE 400
BOONE NC
28607-6103
US

V. Phone/Fax

Practice location:
  • Phone: 828-263-9228
  • Fax:
Mailing address:
  • Phone: 828-263-9228
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number3122
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC005005
License Number StateNC

VIII. Authorized Official

Name: DR. HAP COX
Title or Position: PRESIDENT
Credential: PH.D.
Phone: 828-263-9228