Active NPI
Safe Space Therapy & Consulting LLC
- Community/Behavioral Health Agency
- Huntsville, AL
National Provider Identifier
1972247724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.