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General NPI Number Information
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NPI Number | 1285581538
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Entity Type | Organization
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Legal Business Name | SAFE HAVEN COUNSELING & WELLNESS LLC
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Dates
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Enumeration Date | 03/16/2026
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Last Update Date | 03/16/2026
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Provider Practice Location Address
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Address Line | 222 S 12TH ST
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City | LINDENHURST
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State | NY
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Zip | 11757-4516
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Country | US
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Telephone | 732-860-2026
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Fax |
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Provider Business Mailing Address
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Address Line | 971 US HIGHWAY 202 N STE 4719
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City | BRANCHBURG
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State | NJ
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Zip | 08876-3757
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Country | US
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Telephone | 732-860-2026
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SAMANTHA KACSUR
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Credential | LCSW
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Telephone | 732-860-2026
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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