Healthcare Provider Details
I. General information
NPI: 1538847249
Provider Name (Legal Business Name): SAFE WELLNESS CENTER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/11/2023
Last Update Date: 01/20/2025
Certification Date: 01/20/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4520 FIRESTONE ST
DEARBORN MI
48126-4602
US
IV. Provider business mailing address
23302 W WARREN ST
DEARBORN HEIGHTS MI
48127-2493
US
V. Phone/Fax
- Phone: 313-470-1860
- Fax: 313-731-2010
- Phone: 313-470-1860
- Fax: 313-731-2010
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Psychologist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ALI
SAYED
Title or Position: CHIEF OPERATOR
Credential:
Phone: 313-436-0043