Organization
SAFE SPACE THERAPY LLC
Active
Other names
Safe Space Therapy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
AMBROSIA ISELY LCSW, ACLC, PMH-C (DIRECTOR)
(406) 209-8279
Entity
Organization
Contact information
Practice address
23 SOUTHPARK PLAZA DRIVE, BUCKY, WV 26201
(406) 209-8279
Mailing address
725 W ALDER ST STE 27, MISSOULA, MT 59802-4026
(406) 209-8279
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/19/2023
Last updated
10/22/2025
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