OrganizationActive
Haven Ministries, Inc.
NPI 1992019335 · Child & Adolescent Psychiatry Physician · Lake Waccamaw, NC
Provider details
- NPI number
- 1992019335
- Entity type
- Organization
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dwight Lysne, Director(910) 803-1620
- License
- 200301378 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
107 Church St
Lake Waccamaw, NC 28450-1909
Phone: (910) 803-1620
Fax: (215) 902-4882
Street-level locationGet directions
Mailing address
7212 Oyster Ln
Wilmington, NC 28411-7132
Registry dates
- Enumerated
- 2010-07-27
- Last updated
- 2010-07-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.