A Safe Space Individual Family and Marriage Telehealth Counseling

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

A SAFE SPACE INDIVIDUAL FAMILY AND MARRIAGE TELEHEALTH COUNSELING

Practice address

30914 Palette Rd
Murrieta, CA 92563-1185

Phone

(951) 966-7893

NPI assigned

Jun 5, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Sherry M Morris

Title

LMFT

Phone

(951) 966-7893

Specialties & licenses 1

Addresses

Other names 1

• A Safe Space: Telehealth Counseling Connections Doing business as

Practitioners 1

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

• Sherry Monique Morris-Logan, LMFT

  • Marriage & Family Therapist
  • Perris, CA
  • NPI 1134798804
  NPD

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1659112381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27890 CLINTON KEITH ROAD",
            "address_2": "SUITE D #167",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925628572",
            "telephone_number": "951-966-7893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30914 PALETTE RD",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925631185",
            "telephone_number": "951-966-7893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A SAFE SPACE INDIVIDUAL FAMILY AND MARRIAGE TELEHEALTH COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "LMFT",
        "authorized_official_telephone_number": "951-966-7893",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Safe Space: Telehealth Counseling Connections",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Marriage & Family Therapist in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.