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General NPI Number Information
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NPI Number | 1609749886
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Entity Type | Organization
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Legal Business Name | SAFE THERAPY SPACE LLC
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Dates
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Enumeration Date | 09/24/2025
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 21700 GREENFIELD RD
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City | OAK PARK
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State | MI
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Zip | 48237-2581
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Country | US
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Telephone | 248-961-4406
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Fax |
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Provider Business Mailing Address
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Address Line | 25579 BRIAR DR
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City | OAK PARK
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State | MI
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Zip | 48237-1335
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Country | US
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Telephone | 248-961-4406
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH COUSELOR
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Name | RACHEL WEBSTER
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Credential | MA, LPC
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Telephone | 248-961-4406
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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