MEDICARE: SAFE HARBOR INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1033988829
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAFE HARBOR INC

Provider Business Mailing Address
First Line	:	PO BOX 174
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29602-0174
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1433 CLEVELAND ST APT 303D
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29607-2409
Country	:	US
Telephone Number	:	800-291-2139
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DANNY VARAT
Credential	:
Telephone Number	:	800-291-2139

Provider Enumeration Date	:	12/21/2023
Last Update Date	:	12/21/2023

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Directions to “SAFE HARBOR INC ” Practice Location

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