A Safe Space LLC
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Atlanta, GA
NPI 1285248773 · NPPES record last updated Sep 2, 2020
Key facts
- NPI
- 1285248773
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- A SAFE SPACE LLC
- Practice address
- 3342 Rose RDG
Atlanta, GA 30340-4074 - Phone
- (678) 558-3930
- NPI assigned
- Sep 2, 2020
- Organization subpart
- No
Authorized official
- Name
- Mr. Harry Scott Gordon, LPC, MS
- Title
- President
- Phone
- (678) 558-3930
Practitioners 1
-
Harry Scott Gordon, LPC
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
3342 Rose RDG
Atlanta, GA 30340-4074
Mailing address
3342 Rose RDG
Atlanta, GA 30340-4074
Phone (678) 558-3930
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.