Safe Space Rehabilitation and Mentoring LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SAFE SPACE REHABILITATION AND MENTORING LLC

Practice address

9199 Reisterstown Rd Ste 210C
Owings Mills, MD 21117-4577

Phone

(443) 813-9056

NPI assigned

Aug 29, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Hugh D Alexis, PSYD, LCSW-CNPI 1144497512

Title

Director

Phone

(443) 813-9056

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Hugh Alexis

  • Clinical Social Worker
  • Windsor Mill, MD
  • NPI 1144497512
  NPD Authorized official

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693267200000",
    "number": "1679358469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9199 REISTERSTOWN RD STE 210C",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9199 REISTERSTOWN RD STE 210C",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174577",
            "telephone_number": "443-813-9056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE SPACE REHABILITATION AND MENTORING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A",
        "authorized_official_last_name": "ALEXIS",
        "authorized_official_first_name": "HUGH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "443-813-9056",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, LCSW-C"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Owings Mills, MD
• Providers in Owings Mills, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.