Provider Demographics
NPI:1922993658
Name:ANTHONYS SAFE-HAVEN
Entity type:Organization
Organization Name:ANTHONYS SAFE-HAVEN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & FOUNDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHANTEL
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:DIXON
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW-P
Authorized Official - Phone:918-671-4090
Mailing Address - Street 1:12303 N 130TH EAST AVE
Mailing Address - Street 2:
Mailing Address - City:COLLINSVILLE
Mailing Address - State:OK
Mailing Address - Zip Code:74021-8003
Mailing Address - Country:US
Mailing Address - Phone:918-671-4090
Mailing Address - Fax:
Practice Address - Street 1:12303 N 130TH EAST AVE
Practice Address - Street 2:
Practice Address - City:COLLINSVILLE
Practice Address - State:OK
Practice Address - Zip Code:74021-8003
Practice Address - Country:US
Practice Address - Phone:918-671-4090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
No251V00000XAgenciesVoluntary or Charitable
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)