Organization
YOUR SAFE PLACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARAIN JOHNSON (OWNER)
(832) 755-5457
Entity
Organization
Contact information
Practice address
2626 S LOOP W STE 425, HOUSTON, TX 77054-2652
(713) 635-9760
Mailing address
2626 S LOOP W STE 425, HOUSTON, TX 77054-2652
(713) 635-9760
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM3000X
Medically Fragile Infants and Children Day Care
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
Other
Enumeration date
07/17/2023
Last updated
06/18/2025
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