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Organization
SAFE SPACE COUNSELING, PLLC.
Active
Organization
SAFE SPACE COUNSELING, PLLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANIKA DAVIS-WATLEY LMSW (RESIDENT AGENT)
(586) 419-3851
Entity
Organization
Contact information
Practice address
22560 PHELPS ST, CLINTON TOWNSHIP, MI 48036
(586) 419-3851
Mailing address
13335 15 MILE RD # 216, STERLING HEIGHTS, MI 48312-4210
(586) 419-3851
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932587995
—
MI
Enumeration date
03/17/2023
Last updated
12/14/2023
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