| Name: | SAFE HAVEN COUNSELING SERVICES, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 01 Nov 2012 (12 years ago) |
| Identification Number: | 000794199 |
| ZIP code: | 02886 |
| County: | Kent County |
| Principal Address: | 3970 POST ROAD SUITE 3, WARWICK, RI, 02886, USA |
| Mailing Address: | 3970 POST ROAD SUITE 3, WARWICK, RI, 02886-9235, USA |
| Purpose: | SAFE HAVEN COUNSELING SERVICES LLC PROVIDES OUTPATIENT MENTAL HEALTH COUNSELING. |
NAICS
621330 Offices of Mental Health Practitioners (except Physicians)This industry comprises establishments of independent mental health practitioners (except physicians) primarily engaged in (1) the diagnosis and treatment of mental, emotional, and behavioral disorders and/or (2) the diagnosis and treatment of individual or group social dysfunction brought about by such causes as mental illness, alcohol and substance abuse, physical and emotional trauma, or stress. These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. Learn more at the U.S. Census Bureau
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841622818 | 2013-08-01 | 2013-11-27 | 1 RICHMOND SQ, SUITE 124C, PROVIDENCE, RI, 029065139, US | 1 RICHMOND SQ, SUITE 124C, PROVIDENCE, RI, 029065139, US | |||||||||||||||||||||||||
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| Phone | +1 401-536-9474 |
| Fax | 4017518997 |
Authorized person
| Name | MS. HEIDI MONROE |
| Role | CLINICAL SOCIAL WORKER |
| Phone | 4015369474 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | ISW02249 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE PTAN |
| Number | 0034475 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| HEIDI M. MONROE | Agent | 3970 POST ROAD SUITE 3, WARWICK, RI, 02886-9235, USA |
| Number | Name | File Date |
|---|---|---|
| 202452593770 | Annual Report | 2024-04-25 |
| 202333283820 | Annual Report | 2023-04-19 |
| 202217516200 | Annual Report | 2022-05-19 |
| 202104954360 | Statement of Change of Registered/Resident Agent Office | 2021-11-11 |
| 202104954270 | Annual Report | 2021-11-11 |
| 202073813460 | Annual Report | 2020-11-10 |
| 201912105360 | Annual Report | 2019-08-13 |
| 201879797930 | Annual Report | 2018-10-19 |
| 201879759640 | Statement of Change of Registered/Resident Agent Office | 2018-10-19 |
| 201877685310 | Revocation Notice For Failure to Maintain a Registered Office | 2018-09-18 |
Date of last update: 17 Oct 2024
Sources: Rhode Island Department of State
