| Safe Space Therapy & Consulting Llc | |
|
604 Davis Cir Sw Huntsville AL 35801-5014 | |
| (256) 578-7054 | |
| (256) 287-4494 |
| Full Name | Safe Space Therapy & Consulting Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 604 Davis Cir Sw, Huntsville, Alabama |
| Authorized Official Name and Position | Shaquetta Williams (OWNER/THERAPIST) |
| Authorized Official Contact | 2565787054 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Safe Space Therapy & Consulting Llc 10243 Long Meadow Rd Madison AL 35756-4225 Ph: (256) 479-2944 | Safe Space Therapy & Consulting Llc 604 Davis Cir Sw Huntsville AL 35801-5014 Ph: (256) 578-7054 |
| NPI Number | 1972247724 |
|---|---|
| Provider Enumeration Date | 04/26/2022 |
| Last Update Date | 06/16/2022 |
| Certification Date | 06/16/2022 |
| Medicare PECOS PAC ID | 7416336789 |
|---|---|
| Medicare Enrollment ID | O20220616000053 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972247724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Shaquetta Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518578988 PECOS PAC ID: 8325427693 Enrollment ID: I20220616001074 |
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