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Organization

SAFE SPACE THERAPY AND RETREATS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DANIELLE CURRIE LICSW (CEO/OWNER)
(678) 209-6961
Entity
Organization

Contact information

Practice address
2651 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-7706
(678) 209-6961
Mailing address
2651 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-7706
(678) 209-6961

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
101YP2500X
Professional Counselor
251S00000X
Community/Behavioral Health Agency
261QH0100X
Health Service Clinic/Center
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
06/28/2023
Last updated
04/15/2024
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