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General NPI Number Information
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NPI Number | 1841133774
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Entity Type | Organization
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Legal Business Name | SAFE SPACES LLC
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Dates
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Enumeration Date | 04/14/2026
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Last Update Date | 04/14/2026
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Provider Practice Location Address
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Address Line | 922 STATE ST
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City | BOWLING GREEN
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State | KY
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Zip | 42101-2216
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Country | US
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Telephone | 270-784-5223
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Fax |
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Provider Business Mailing Address
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Address Line | 4140 SMITHS GROVE SCOTTSVILLE RD
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City | SMITHS GROVE
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State | KY
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Zip | 42171-9342
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Country | US
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Telephone | 270-784-5223
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PAUL ISENBERG
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Credential |
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Telephone | 270-784-5223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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