Haven Mental Wellness PLLC
NPI 1104598838 · Clinical Social Worker · Elizabeth City, NC
Haven Mental Wellness PLLC is a Clinical Social Worker organization in Elizabeth City, NC (NPI 1104598838).
Provider details
- NPI number
- 1104598838
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Gemini Johnson, Owner(252) 619-2309
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-09-30
- Last updated
- 2025-03-14
- Certified
- 2025-03-14
Frequently asked questions
- What is Haven Mental Wellness PLLC's NPI number?
- Haven Mental Wellness PLLC's National Provider Identifier (NPI) is 1104598838, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Haven Mental Wellness PLLC?
- Haven Mental Wellness PLLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Haven Mental Wellness PLLC located?
- Haven Mental Wellness PLLC's practice location on file with NPPES is 111 S Road St, Elizabeth City, NC 27909-4355.
- What is Haven Mental Wellness PLLC's phone number?
- The practice phone number listed in the NPPES registry for Haven Mental Wellness PLLC is (252) 619-2309.
- Who is the authorized official for Haven Mental Wellness PLLC?
- The authorized official listed on Haven Mental Wellness PLLC's NPPES record is Gemini Johnson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Haven Mental Wellness PLLC's NPI active?
- Yes — Haven Mental Wellness PLLC's NPI (1104598838) is active in the NPPES registry as of the last update on 2025-03-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.