Organization Active NPI

Sanctuary Therapeutic Counseling Services

  • Clinical Social Worker
  • Miami, FL
National Provider Identifier
1639728827
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SANCTUARY THERAPEUTIC COUNSELING SERVICES
Practice address
3246 N. Miami Avenue Suite a
#370585
Miami, FL 33127
Phone
(862) 237-8088
NPI assigned
Sep 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Authorized official

Name
Safiyah R Davis, LCSW MCAP CRRA
Title
Owner
Phone
(862) 237-8088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3246 N. Miami Avenue Suite a
#370585
Miami, FL 33127

Mailing address

218 NE 51St St Apt 3
Miami, FL 33137-2871
Phone (862) 237-8088

National Provider Directory

National Provider Directory

Locations

3246 N Miami Ave
Ste A
Miami, FL 33127
Phone (862) 237-8088

NPI Registry JSON

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568073600000",
    "number": "1639728827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 NE 51ST ST APT 3",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331372871",
            "telephone_number": "862-237-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3246 N. MIAMI AVENUE SUITE A",
            "address_2": "#370585",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33127",
            "telephone_number": "862-237-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANCTUARY THERAPEUTIC COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-10",
        "last_updated": "2019-09-10",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "SAFIYAH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "862-237-8088",
        "authorized_official_credential": "LCSW MCAP CRRA"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; 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.