Organization · NPI-2

A Safe Space Therapeutic Services, PLLC

Social Worker, Clinical · Durham, NC

NPI number1144164229
StatusActive
Last updated in NPPESApr 17, 2026

Details

NPI
1144164229
Entity type
Organization (NPI-2)
Legal business name
A Safe Space Therapeutic Services, PLLC
Organization subpart
No
Enumeration date
Apr 17, 2026
Certification date
Apr 8, 2026
Last updated
Apr 17, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical––Yes

Practice location

2015 Copper Leaf Pkwy
Durham, NC 27703-7707

Phone 919-948-0105

Mailing address

3064 Wake Forest Rd # 1180
Raleigh, NC 27609-7844

Phone 919-948-0105

Authorized official

Shakeda Muldrow
Owner
9199480105

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