Healthcare Provider Details

I. General information

NPI: 1235936543
Provider Name (Legal Business Name): SAFEB WELLNES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2025
Last Update Date: 02/26/2025
Certification Date: 02/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2095 NW 65TH AVE
MARGATE FL
33063-2331
US

IV. Provider business mailing address

2095 NW 65TH AVE
MARGATE FL
33063-2331
US

V. Phone/Fax

Practice location:
  • Phone: 954-298-1356
  • Fax:
Mailing address:
  • Phone: 954-298-1356
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DEANNA BRYANT
Title or Position: OWNER
Credential: LCSW
Phone: 954-298-1356