Organization Active NPI

Safe Space Therapy & Consulting LLC

  • Community/Behavioral Health Agency
  • Huntsville, AL
National Provider Identifier
1972247724
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SAFE SPACE THERAPY & CONSULTING LLC
Practice address
604 Davis Cir SW
Huntsville, AL 35801-5014
Phone
(256) 578-7054
Fax
(256) 287-4494
NPI assigned
Apr 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Authorized official

Name
Shaquetta Williams, LCSW
Title
Owner/Therapist
Phone
(256) 578-7054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

604 Davis Cir SW
Huntsville, AL 35801-5014

Mailing address

10243 Long Meadow Rd
Madison, AL 35756-4225
Phone (256) 479-2944

National Provider Directory

National Provider Directory

Locations

190 Lime Quarry Rd
Ste 211
Madison, AL 35758

NPI Registry JSON

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655337600000",
    "number": "1972247724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10243 LONG MEADOW RD",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357564225",
            "telephone_number": "256-479-2944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 DAVIS CIR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015014",
            "telephone_number": "256-578-7054",
            "fax_number": "256-287-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE SPACE THERAPY & CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SHAQUETTA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "256-578-7054",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.