| Safe Spaces Corp | |
|
885 Fairfax Ter Nw Pt Charlotte FL 33948-3718 | |
| (786) 521-1599 | |
| Not Available |
| Full Name | Safe Spaces Corp |
|---|---|
| Speciality | Social Worker |
| Location | 885 Fairfax Ter Nw, Pt Charlotte, Florida |
| Authorized Official Name and Position | Melanie Antones (OWNER) |
| Authorized Official Contact | 7865211599 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Safe Spaces Corp 885 Fairfax Ter Nw Pt Charlotte FL 33948-3718 Ph: () - | Safe Spaces Corp 885 Fairfax Ter Nw Pt Charlotte FL 33948-3718 Ph: (786) 521-1599 |
| NPI Number | 1295466647 |
|---|---|
| Provider Enumeration Date | 06/17/2022 |
| Last Update Date | 06/17/2022 |
| Certification Date | 06/17/2022 |
| Medicare PECOS PAC ID | 3971984923 |
|---|---|
| Medicare Enrollment ID | O20220721002496 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295466647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Melanie Antones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285704072 PECOS PAC ID: 8820185945 Enrollment ID: I20220721002661 |
Wellspring Counseling Center Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 18245 Paulson Dr, Suite 111, Pt Charlotte, FL 33954 Phone: 941-916-0522 Fax: 941-206-2201 |