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NPI Code Detail

MEDICARE: SAFE SPACE THERAPY

MEDICARE: SAFE SPACE THERAPY
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
1104100000XSocial Worker
2101Y00000XCounselor
3101YA0400XAddiction (Substance Use Disorder) Counselor
4101YP2500XProfessional Counselor
5103TC1900XCounseling Psychologist
6101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1235957754
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAFE SPACE THERAPY
Provider Business Mailing Address
First Line : 50 LENOX POINTE NE STE A
Second Line :
City : ATLANTA
State : GA
Zip : 30324-3103
Country : US
Telephone Number : 404-409-5512
Fax Number : 404-393-5999
Provider Business Practice Location Address
First Line : 50 LENOX POINTE NE STE A
Second Line :
City : ATLANTA
State : GA
Zip : 30324-3103
Country : US
Telephone Number : 404-409-5512
Fax Number : 404-393-5999
Authorized Official
Title or Position : CEO & OWNER
Name : DR. EMMA COOKE
Credential : LPC
Telephone Number : 404-409-5512
Provider Enumeration Date : 10/02/2024
Last Update Date : 10/02/2024

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Directions to “SAFE SPACE THERAPY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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