Wan'S Safe Space Behavorial Health Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

WAN'S SAFE SPACE BEHAVORIAL HEALTH SERVICES

Practice address

333 Babbitt Rd Ste 242
Euclid, OH 44123-1636

Phone

(216) 551-5020

NPI assigned

Apr 14, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marquetta BrownNPI 1407198799

Title

Owner

Phone

(216) 551-5020

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marquetta Sheneen Brown, STNA

  • Case Manager/Care Coordinator
  • Willowick, OH
  • NPI 1407198799
  NPD Authorized official
• Matthew Eaddie

  • Case Manager/Care Coordinator
  • Euclid, OH
  • NPI 1598634693
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1396530812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29006 EDGEWOOD DR",
            "city": "WILLOWICK",
            "state": "OH",
            "postal_code": "440955054",
            "telephone_number": "216-551-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 BABBITT RD STE 242",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441231636",
            "telephone_number": "216-551-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAN'S SAFE SPACE BEHAVORIAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MARQUETTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-551-5020"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angel Lynette Walton, LPN
• Dishanna Tomeka Walton
• Kinja Walton
• Shatwan Walton
• Valencia D Walton
• Laquita Ward
• Crystal Ware
• Crystal Evelyn Ware, LPN
• Linda N Ware
• Ramathmizpeh Oronotho Warith Sr.

• Community/Behavioral Health Agency in Euclid, OH
• Providers in Euclid, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.