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General NPI Number Information
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NPI Number | 1457239782
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Entity Type | Organization
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Legal Business Name | SAFE HAVEN COUNSELING LLC
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Dates
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Enumeration Date | 08/25/2025
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 415 ISBILL RD STE G
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City | MADISONVILLE
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State | TN
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Zip | 37354-2148
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Country | US
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Telephone | 865-223-0386
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Fax |
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Provider Business Mailing Address
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Address Line | 415 ISBILL RD STE G
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City | MADISONVILLE
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State | TN
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Zip | 37354-2148
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Country | US
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Telephone | 865-223-0386
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | CHRISTINE MCGINLEY
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Credential | MHSP
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Telephone | 865-223-0386
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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