Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blk Haven Corp

Organization Mental Health Counselor · NPI 1184322455

Blk Haven Corp is a Mental Health Counselor in Lithia Springs, Georgia. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1633 Karsyn Ln
Lithia Springs, GA 30122-3970
Phone: (619) 330-5601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1184322455
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ashlee Wilson — Ceo · (763) 245-0390
NPI enumeratedFebruary 16, 2023
Last updated in NPPESFebruary 16, 2023
Certification dateFebruary 16, 2023
Mailing address4047 Noonan St, Honolulu, HI 96818-6242

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