| The Safe Space Therapeutic Services, Llc | |
|
1125 Jefferson Davis Hwy Ste 400 Fredericksburg VA 22401-8449 | |
| (540) 987-0362 | |
| Not Available |
| Full Name | The Safe Space Therapeutic Services, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1125 Jefferson Davis Hwy Ste 400, Fredericksburg, Virginia |
| Authorized Official Name and Position | Shela S White (FOUNDER/OWNER) |
| Authorized Official Contact | 7579807301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Safe Space Therapeutic Services, Llc 2215 Plank Rd # 126 Fredericksburg VA 22401-5226 Ph: (540) 987-0362 | The Safe Space Therapeutic Services, Llc 1125 Jefferson Davis Hwy Ste 400 Fredericksburg VA 22401-8449 Ph: (540) 987-0362 |
| NPI Number | 1639756794 |
|---|---|
| Provider Enumeration Date | 03/25/2021 |
| Last Update Date | 07/21/2022 |
| Certification Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639756794 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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