Healthcare Provider Details

I. General information

NPI: 1821906074
Provider Name (Legal Business Name): A SAFE PLACE WELLNESS & RECOVERY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 09/12/2026
Certification Date: 09/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8422 SUTTONVIEW DR
CHARLOTTE NC
28269-5227
US

IV. Provider business mailing address

8422 SUTTONVIEW DR
CHARLOTTE NC
28269-5227
US

V. Phone/Fax

Practice location:
  • Phone: 704-957-5783
  • Fax:
Mailing address:
  • Phone: 704-957-5783
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JOYCE M GREEN
Title or Position: OWNER/EXECUTIVE DIRECTOR
Credential: CPSS,
Phone: 704-957-5783