Organization
SAFE SPACE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAURICE MAZYCK (CLINICAL DIRECTOR)
(843) 810-2797
Entity
Organization
Contact information
Practice address
5900 CORE RD STE 104, NORTH CHARLESTON, SC 29406-6000
(843) 779-9005
Mailing address
5900 CORE RD STE 1041632, NORTH CHARLESTON, SC 29406-6056
(843) 779-9005
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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