MEDICARE: SAFEHOUSE INTEGRATED 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
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1467331009
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAFEHOUSE INTEGRATED SERVICES, LLC

Provider Business Mailing Address
First Line	:	PO BOX 1122
Second Line	:
City	:	BECKLEY
State	:	WV
Zip	:	25802-1122
Country	:	US
Telephone Number	:	304-763-7655
Fax Number	:	866-514-3292

Provider Business Practice Location Address
First Line	:	175 REALITY RD
Second Line	:
City	:	MOUNT HOPE
State	:	WV
Zip	:	25880-6107
Country	:	US
Telephone Number	:	304-763-7655
Fax Number	:	866-514-3292

Authorized Official
Title or Position	:	OWNER
Name	:	LEON BRUSH
Credential	:
Telephone Number	:	304-763-7655

Provider Enumeration Date	:	08/28/2025
Last Update Date	:	04/21/2026

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