| Safe Healing Space | |
|
7922 Booker St Houston TX 77028-5506 | |
| (253) 347-6949 | |
| Not Available |
| Full Name | Safe Healing Space |
|---|---|
| Speciality | Social Worker |
| Location | 7922 Booker St, Houston, Texas |
| Authorized Official Name and Position | Brittney Ellis (OWNER) |
| Authorized Official Contact | 2533476949 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Safe Healing Space 7922 Booker St Houston TX 77028-5506 Ph: (253) 347-6949 | Safe Healing Space 7922 Booker St Houston TX 77028-5506 Ph: (253) 347-6949 |
| NPI Number | 1881365310 |
|---|---|
| Provider Enumeration Date | 09/23/2021 |
| Last Update Date | 11/15/2021 |
| Certification Date | 11/04/2021 |
| Medicare PECOS PAC ID | 9739578618 |
|---|---|
| Medicare Enrollment ID | O20211115002112 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881365310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Brittney Ellis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770154668 PECOS PAC ID: 0446648398 Enrollment ID: I20211026000176 |
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