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BLK HAVEN CORP.
NPI 1184322455
Counselor - Mental Health in Lithia Springs, GA

Active since February 16, 2023
1633 KARSYN LN, LITHIA SPRINGS, GA 30122(619) 330-5601 Get Directions Write a Review

NPPES record last updated: February 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Blk Haven Corp. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLK HAVEN CORP. (NPI 1184322455) is a healthcare organization registered as a mental health in Lithia Springs, Georgia and active in the NPI registry since February 2023. The organization lists Ashlee S Wilson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1184322455
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameBLK HAVEN CORP.
Location Address1633 KARSYN LNLithia Springs, GA 30122-3970
Mailing Address4047 Noonan StHonolulu, HI 96818-6242 · (763) 245-0390
Phone(619) 330-5601
Organization SubpartNo
Authorized OfficialAshlee S WilsonCeo · (763) 245-0390
Enumeration DateFebruary 16, 2023
NPPES CertifiedFebruary 16, 2023
✔ NPI 1184322455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1633 KARSYN LN, Lithia Springs, GA 30122
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blk Haven Corp.'s NPI number?

The NPI number for Blk Haven Corp. is 1184322455. It was assigned to this organization in the NPPES registry on February 16, 2023.

Where is Blk Haven Corp. located?

Blk Haven Corp. is located at 1633 Karsyn Ln, Lithia Springs, GA 30122. The listed phone number is (619) 330-5601.

What is Blk Haven Corp.'s specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Blk Haven Corp. was last updated on February 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.