# SELF AUTHENTICALLY FOREVER EVOLVING COUNSELING SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** S.A.F.E. Counseling Services, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710562889
- **Authorized official:** MR. BARRY A. GRANT MHS, CAC-AD (CO-OWNER)
- **Authorized official phone:** (973) 943-2455

## Contact information

- **Practice address:** 6201 GREENBELT RD STE L4, BERWYN HEIGHTS, MD 20740-2357
- **Practice address phone:** (240) 965-7262
- **Practice address fax:** (240) 553-7177
- **Mailing address:** 6201 GREENBELT RD STE L4, BERWYN HEIGHTS, MD 20740-2357
- **Mailing address phone:** (240) 965-7262
- **Mailing address fax:** (240) 553-7177

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |

## Other

- **Enumeration date:** 03/10/2021
- **Last updated:** 03/10/2021