Safe Harbor Counseling, Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW70408 Issued in FL

Legal business name

SAFE HARBOR COUNSELING, INC

Practice address

2692 US Highway I, South
Suite 205
St Augustine, FL 32086

Phone

(904) 669-5908

Fax

(904) 794-4225

NPI assigned

May 17, 2011

Organization subpart

No

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

Authorized official

Name

Ms. April Liddle, LCSW

Title

Owner/Operator

Phone

(904) 669-5908

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305590400000",
    "number": "1992098446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2692 US HIGHWAY I, SOUTH",
            "address_2": "SUITE 205",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "32086",
            "telephone_number": "904-669-5908",
            "fax_number": "904-794-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2692 US HIGHWAY I, SOUTH",
            "address_2": "SUITE 205",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "32086",
            "telephone_number": "904-669-5908",
            "fax_number": "904-794-4225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HARBOR COUNSELING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-17",
        "last_updated": "2011-05-17",
        "status": "A",
        "authorized_official_last_name": "LIDDLE",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "904-669-5908",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW70408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Sabo, PA-C
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• Elaine S Sadkowski, LCSW
• George Edward Sadowski, M.D.
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• Janice K Sage, D.C.
• Justin Sager, D.O.
• Bashar S Saikaly, MD
• Sami Kameel Saikaly, M.D.

• Clinical Social Worker in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; 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.