Organization · Type 2 NPI

A Safe Space Counseling LLC

Mental Health Clinic/Center (Including Community Mental Health Center) · Longwood, FL

NPI number 1417481235 Active

Practice location

1250 S US Highway 17 92 Ste 150
Longwood, FL 32750-5712

Fax (321) 972-5071

Other practice locations

  • 100 E Sybelia Ave, Suite 380, Maitland, FL 32751-4763 · (321) 710-5649

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed
Adolescent and Children Mental Health Clinic/Center 261QM0855XMH12311 (FL)

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1417481235

A Safe Space Counseling LLC's National Provider Identifier is 1417481235, issued on Apr 18, 2017. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Longwood, FL. The record was last updated on Sep 6, 2024.