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General NPI Number Information
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NPI Number | 1942016597
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Entity Type | Organization
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Legal Business Name | SAFE SPACE HEALING COLLECTIVE, LLC
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Dates
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Enumeration Date | 12/09/2024
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 3355 BEE CAVES RD STE 705
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City | WEST LAKE HILLS
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State | TX
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Zip | 78746-6673
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Country | US
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Telephone | 512-387-1964
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Fax |
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Provider Business Mailing Address
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Address Line | 10101 SANDY BEACH RD
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City | DRIPPING SPRINGS
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State | TX
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Zip | 78620-2634
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Country | US
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Telephone | 281-804-7558
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Fax |
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Authorized Official
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Title or Position | FOUNDER AND LEAD THERAPIST
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Name | MS. ALEX HOFFMAN
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Credential | MA, LPC
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Telephone | 281-804-7558
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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