Healthcare Provider Details

I. General information

NPI: 1083179329
Provider Name (Legal Business Name): SAFE TOUCH HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2019
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43 SCHOOL BUS DR
MABEN MS
39750-9408
US

IV. Provider business mailing address

43 SCHOOL BUS DR
MABEN MS
39750-9408
US

V. Phone/Fax

Practice location:
  • Phone: 662-295-7520
  • Fax:
Mailing address:
  • Phone: 662-295-7520
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: TERES CHANDLER
Title or Position: OWNER
Credential:
Phone: 662-295-7520