Healthcare Provider Details

I. General information

NPI: 1821916305
Provider Name (Legal Business Name): SAFE SPACE HEALING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4015 EXECUTIVE PARK DR STE 215
CINCINNATI OH
45241-2080
US

IV. Provider business mailing address

3822 SPRING HOUSE LN
CINCINNATI OH
45217-1920
US

V. Phone/Fax

Practice location:
  • Phone: 513-341-8524
  • Fax:
Mailing address:
  • Phone: 513-226-0592
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. LATONYA JEANNETTE WHIPPLE
Title or Position: AGENT
Credential: PHD
Phone: 513-226-0592