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Contact Information

SAFE SPACE THERAPY LLC
23 SOUTHPARK PLAZA DRIVE
BUCKY, WV26201
 Phone: 406-209-8279
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for SAFE SPACE THERAPY LLC

NPI # 1588379044
LBN Legal business name SAFE SPACE THERAPY LLC
Authorized official AMBROSIA ISELY - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/19/2023
Last updated 10/22/2025 - About 8 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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