Active NPI
Safe Space LLC
- Multi-Specialty Clinic/Center
- Louisville, KY
National Provider Identifier
1487419180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- SAFE SPACE LLC
- Practice address
- 1467 S 9TH St
Louisville, KY 40208-2254 - Phone
- (502) 618-0835
- Fax
- (502) 665-0500
- NPI assigned
- Feb 21, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cameron Brown
- Title
- Ceo
- Phone
- (920) 252-9024
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
1467 S 9TH St
Louisville, KY 40208-2254
Mailing address
1467 S 9TH St
Louisville, KY 40208-2254
Phone (502) 618-0835
National Provider Directory
National Provider DirectoryLocations
1028 Barret Ave
Louisville, KY 40204
Phone (502) 451-1221
1467 S 9th St
Louisville, KY 40208
Phone (502) 496-4545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746835200000",
"number": "1487419180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1467 S 9TH ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402082254",
"telephone_number": "502-618-0835",
"fax_number": "502-665-0500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1467 S 9TH ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402082254",
"telephone_number": "502-618-0835",
"fax_number": "502-665-0500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAFE SPACE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-21",
"last_updated": "2025-05-10",
"certification_date": "2025-05-10",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "CAMERON",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "920-252-9024"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.