=====================================================
General NPI Number Information
=====================================================
NPI Number | 1750177721
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SAFESPACE MENTAL HEALTH PLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/16/2025
-----------------------------------------------------
Last Update Date | 04/16/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 420 N SCOTTSDALE RD APT 7075
-----------------------------------------------------
City | TEMPE
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85288-7652
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 661-383-3822
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 420 N SCOTTSDALE RD APT 7075
-----------------------------------------------------
City | TEMPE
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85288-7652
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 661-383-3822
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | MARGARET N KAYIIRA
-----------------------------------------------------
Credential | PMHNP-BC
-----------------------------------------------------
Telephone | 661-383-3822
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------