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NPI Code Detail

MEDICARE: SAAFE BEHAVIORAL SERVICES LLC

MEDICARE: SAAFE BEHAVIORAL SERVICES LLC
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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1154757557
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAAFE BEHAVIORAL SERVICES LLC
Provider Business Mailing Address
First Line : 201 W PLYMOUTH AVE
Second Line :
City : DELAND
State : FL
Zip : 32720-2753
Country : US
Telephone Number : 386-873-2963
Fax Number : 386-873-2786
Provider Business Practice Location Address
First Line : 201 W PLYMOUTH AVE
Second Line :
City : DELAND
State : FL
Zip : 32720-2753
Country : US
Telephone Number : 386-873-2963
Fax Number : 877-847-6009
Authorized Official
Title or Position : CEO/OWNER
Name : DEIDRA JACOBS
Credential :
Telephone Number : 386-873-2963
Provider Enumeration Date : 09/18/2013
Last Update Date : 06/08/2026

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1891879110 — DR. HILDA EVERLIDIS VEGA MD
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1467761593 — MR. BRETT GLENN ALTHAFER LCSW
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1629374491 — FERQUITA STOKES
Practice Location Address:
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DELAND, FL
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32720-2753
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Directions to “SAAFE BEHAVIORAL SERVICES LLC ” Practice Location

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