Healthcare Provider Details

I. General information

NPI: 1962337022
Provider Name (Legal Business Name): SAFE SPACE CAROLINAS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

173 COLUMBIA ST UNIT A
CHESTER SC
29706-2924
US

IV. Provider business mailing address

173 COLUMBIA ST UNIT A
CHESTER SC
29706-2924
US

V. Phone/Fax

Practice location:
  • Phone: 803-592-6807
  • Fax:
Mailing address:
  • Phone: 803-592-6807
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State

VIII. Authorized Official

Name: MONIQUE SAUNDERS
Title or Position: FOUNDER
Credential:
Phone: 718-541-4628