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

Haven Ministires, Inc

Organization Child & Adolescent Psychiatry Physician · NPI 1528371614

Haven Ministires, Inc is a Child & Adolescent Psychiatry Physician in Lake Waccamaw, North Carolina. Licensed in North Carolina. Registered with an NPI since 2010.

Licensed in
NC
In the registry since
2010
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

107 Church St
Lake Waccamaw, NC 28450-1909
Phone: (910) 803-1620
Fax: (215) 902-4882
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X · Licence 200301378 (NC)

Record details

NPI number1528371614
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dwight Lysne — Director · (910) 803-1620
NPI enumeratedJuly 19, 2010
Last updated in NPPESJuly 19, 2010
Mailing address7212 Oyster Ln, Wilmington, NC 28411-7132

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