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General NPI Number Information
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NPI Number | 1962347732
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Entity Type | Organization
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Legal Business Name | SAFEHAVENS LLC
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Dates
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Enumeration Date | 04/20/2026
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Last Update Date | 04/20/2026
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Provider Practice Location Address
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Address Line | 1530 W 40TH ST
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City | NORFOLK
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State | VA
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Zip | 23508-2240
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Country | US
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Telephone | 948-212-8703
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Fax | 757-257-6800
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Provider Business Mailing Address
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Address Line | 1215 N MILITARY HWY # 734
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City | NORFOLK
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State | VA
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Zip | 23502-2228
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Country | US
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Telephone | 948-212-8703
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Fax | 757-257-6800
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Authorized Official
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Title or Position | OWNER
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Name | DEZEREA HAVENS
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Credential | LCSW
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Telephone | 948-212-8703
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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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