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

Haven Mental Wellness PLLC

Organization Clinical Social Worker · NPI 1104598838

Haven Mental Wellness PLLC is a Clinical Social Worker in Elizabeth City, North Carolina. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

111 S Road St
Elizabeth City, NC 27909-4355
Phone: (252) 619-2309
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1104598838
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gemini Johnson — Owner · (252) 619-2309
NPI enumeratedSeptember 30, 2021
Last updated in NPPESMarch 14, 2025
Certification dateMarch 14, 2025
Mailing address1851 W Ehringhaus St Ste 154, Elizabeth City, NC 27909-4555

Other providers in Elizabeth City