A SAFE SPACE LLC (NPI# 1285248773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285248773 |
| Entity Type | Organization |
| Organization Name | A SAFE SPACE LLC |
| Practice Address |
3342 Rose Rdg Atlanta GA 30340-4074 |
| Practice Telephone | 6785583930 |
| Mailing Telephone | 6785583930 |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2020-09-02 |
| Authorized Official Name | MR. HARRY SCOTT GORDON (PRESIDENT) |
| Authorized Official Telephone | 6785583930 |
| Authorized Official Credential | LPC, MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
3342 ROSE RDG |
| City | ATLANTA |
| State | GA |
| Zip Code | 30340-4074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339689 | Harry Scott Gordon | Counselor | 3342 Rose Rdg, Atlanta, GA 30340-4074 | 2020-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003300757 | Moensania Carisa Phillips | Nurse Practitioner | 4004 Evans Road, Atlanta, GA 30340 | 2018-06-17 |
| 1326545534 | Teri Lynn Hill | Case Manager/Care Coordinator | 2300 Global Forum Blvd Apt 511, Atlanta, GA 30340 | 2018-04-12 |
| 1174043541 | Woohyeon Cho | Acupuncturist | 5441 Buford Hwy Ne Ste 202, Doraville, GA 30340 | 2017-06-26 |
| 1326599614 | Tara Vanvranken | Chiropractor | 3166 Chestnut Dr Ste 100&200, Atlanta, GA 30340 | 2016-10-20 |
| 1073900056 | Presly Ouy | Pharmacist | 3975 English Oak Dr, Atlanta, GA 30340 | 2015-04-17 |
| 1336389063 | Jose R Muniz | Licensed Practical Nurse | 3061 Oakcliff Rd, 149, Doraville, GA 30340 | 2009-02-20 |
| 1316109200 | John David Hamilton | Radiology | 4000 Dekalb Technology Pkwy Suite 200, Kaiser Permanente Dekalb Technology Center, Atlanta, GA 30340 | 2008-07-01 |
| 1104003979 | Mariya A. Fishman | Radiology | 4000 Dekalb Technology Parkway, Ste. 400 Kaiser Permanente-dekalb Technology Center, Atlanta, GA 30340 | 2008-01-23 |
| 1346441029 | Lana Marie Chase | Clinical Nurse Specialist | 3490 Bowling Green Way, Atlanta, GA 30340 | 2007-05-30 |
| 1225242399 | Expert Pain Clinic LLC | Chiropractor | 3042 Oakciff Rd, Site210, Doraville, GA 30340 | 2007-05-09 |
| Find all providers in zip 30340 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124632013 | Dunwoody Mental Health Center | Clinic/Center | 4594 Barclay Dr, Atlanta, GA 30338-5883 | 2020-09-08 |
| 1972120970 | Imagine New Beginnings | Clinic/Center | 3125 Colonial Way Apt J, Atlanta, GA 30341-5339 | 2020-06-25 |
| 1659994705 | Paul Smith Counseling and Consulting, LLC | Clinic/Center | 5180 Roswell Rd Ste 106, Atlanta, GA 30342-2293 | 2020-05-24 |
| 1568091429 | Keystone Behavioral Health Center | Clinic/Center | 3071 Campbellton Rd Sw Ste 2, Atlanta, GA 30311-5441 | 2020-04-03 |
| 1205471695 | Mindbrain Institute of Atlanta | Clinic/Center | 2200 Century Pkwy Ne Ste 200, Atlanta, GA 30345-3103 | 2019-11-09 |
| 1528613437 | Kenetta Muhammad | Clinic/Center | 801 Joseph E Boone Blvd Nw, Atlanta, GA 30314-3344 | 2019-08-07 |
| 1356906929 | Lenox Pointe Psychotherapy, LLC | Clinic/Center | 6 Lenox Pointe Ne, Atlanta, GA 30324-3167 | 2019-05-08 |
| 1205352093 | Elite Rose Healthcare Services P.C. | Clinic/Center | 2783 Santa Barbara Dr Nw, Atlanta, GA 30318-7326 | 2017-08-14 |
| 1417478439 | Reexist Counseling LLC | Clinic/Center | 1955 Vance Drive Ne, Atlanta, GA 30345 | 2017-06-29 |
| 1215358015 | Living Fully Psychotherapy and Consulting, LLC | Clinic/Center | 1463 Oxford Rd Ne, Atlanta, GA 30322-1046 | 2013-12-20 |
| Find all providers in ATLANTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.