Organization · Type 2 NPI

Safe Space Nyc, Inc.

Mental Health Counselor · Jamaica, NY

NPI number 1760532279 Active

Practice location

16318 Jamaica Ave
Jamaica, NY 11432-4901

Fax (718) 206-3638

Mailing address

8974 162nd St, 5th Floor
Jamaica, NY 11432-5072

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X7055120A (NY)
Clinical Social Worker 1041C0700X7055120A (NY)
Clinical Social Worker 1041C0700X7055120C (NY)
Clinical Social Worker 1041C0700X7055120B (NY)
Psychiatry Physician 2084P0800X7055120A (NY)
Psychiatry Physician 2084P0800X7055120B (NY)
Child & Adolescent Psychiatry Physician 2084P0804X7055120A (NY)
Child & Adolescent Psychiatry Physician 2084P0804X7055120B (NY)
Child & Adolescent Psychiatry Physician 2084P0804X7055120C (NY)

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About NPI 1760532279

Safe Space Nyc, Inc.'s National Provider Identifier is 1760532279, issued on Jan 10, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jamaica, NY. The record was last updated on Nov 7, 2016.