| Safe Space Therapy Llc | |
|
725 W Alder St Ste 27 Missoula MT 59802-4026 | |
| (406) 209-8279 | |
| Not Available |
| Full Name | Safe Space Therapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 725 W Alder St Ste 27, Missoula, Montana |
| Authorized Official Name and Position | Ambrosia Isely (DIRECTOR) |
| Authorized Official Contact | 4062098279 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Safe Space Therapy Llc 725 W Alder St Ste 27 Missoula MT 59802-4026 Ph: (406) 209-8279 | Safe Space Therapy Llc 725 W Alder St Ste 27 Missoula MT 59802-4026 Ph: (406) 209-8279 |
| NPI Number | 1588379044 |
|---|---|
| Provider Enumeration Date | 01/19/2023 |
| Last Update Date | 01/19/2023 |
| Certification Date | 01/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588379044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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