# SAFE SPACE COUNSELING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457100695
- **Authorized official:** MAURICE MAZYCK (CLINICAL DIRECTOR)
- **Authorized official phone:** (843) 810-2797

## Contact information

- **Practice address:** 5900 CORE RD STE 104, NORTH CHARLESTON, SC 29406-6000
- **Practice address phone:** (843) 779-9005
- **Mailing address:** 5900 CORE RD STE 1041632, NORTH CHARLESTON, SC 29406-6056
- **Mailing address phone:** (843) 779-9005

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 05/17/2024
- **Last updated:** 05/17/2024