The Safe Space, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

THE SAFE SPACE, LLC

Practice address

809 Aberdeen Rd Unit 9626
Hampton, VA 23670-1224

Phone

(757) 660-3157

NPI assigned

Dec 11, 2023

Organization subpart

No

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

Authorized official

Name

Domynyque M Fryer, LPCNPI 1336854983

Title

Owner

Phone

(757) 660-3157

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.

• Domynyque Fryer, LPC

  • Professional Counselor
  • Hampton, VA
  • NPI 1336854983
  NPD Authorized official

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1720855778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 E WALKER RD",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236664046",
            "telephone_number": "757-660-3157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 ABERDEEN RD UNIT 9626",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236701224",
            "telephone_number": "757-660-3157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SAFE SPACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-09",
        "status": "A",
        "authorized_official_last_name": "FRYER",
        "authorized_official_first_name": "DOMYNYQUE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-660-3157",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Hampton, VA
• Providers in Hampton, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.