Organization · NPI-2

A Safe Place LLC

Community/Behavioral Health · Memphis, TN

NPI number1588488308
StatusActive
Last updated in NPPESNov 8, 2024

Details

NPI
1588488308
Entity type
Organization (NPI-2)
Legal business name
A Safe Place LLC
Organization subpart
No
Enumeration date
Nov 8, 2024
Certification date
Nov 8, 2024
Last updated
Nov 8, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes
101Y00000X Counselor––
101YA0400X Counselor, Addiction (Substance Use Disorder)––
101YM0800X Counselor, Mental Health––
101YP2500X Counselor, Professional––
103TC2200X Psychologist, Clinical Child & Adolescent––
171M00000X Case Manager/Care Coordinator––
251B00000X Case Management––
253Z00000X In Home Supportive Care––
347C00000X Private Vehicle––
372500000X Chore Provider––
372600000X Adult Companion––
374U00000X Home Health Aide––
376J00000X Homemaker––
385H00000X Respite Care––

Practice location

1455 Poplar Ave
Memphis, TN 38104-2934

Phone 901-229-4403

Mailing address

1605 Lindsey Ln
Southaven, MS 38672-8553

Phone 901-229-4403

Authorized official

Rutha Lee Smith-Carr
Ceo
9012294403

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