Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Blk Haven Corp

Organization Mental Health Counselor · NPI 1942936620

Blk Haven Corp provides Mental Health Counselor services in Chula Vista, California. Registered with an NPI since 2022.

In the registry since
2022
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

1079 Calle Deceo
Chula Vista, CA 91913-3345
Phone: (763) 245-0390
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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 number1942936620
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ashlee Wilson — Ceo/ Co-Founder · (763) 245-0390
Other names Blk Haven
NPI enumeratedJuly 26, 2022
Last updated in NPPESJuly 26, 2022
Certification dateJuly 26, 2022
Mailing address718 Kikanai Loop, Honolulu, HI 96818-4434

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