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Organization

A SAFE PLACE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RUTHA LEE SMITH-CARR (CEO)
(901) 229-4403
Entity
Organization

Contact information

Practice address
1455 POPLAR AVE, MEMPHIS, TN 38104-2934
(901) 229-4403
Mailing address
1605 LINDSEY LN, SOUTHAVEN, MS 38672-8553
(901) 229-4403

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
103TC2200X
Clinical Child & Adolescent Psychologist
171M00000X
Case Manager/Care Coordinator
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
Primary
253Z00000X
In Home Supportive Care Agency
347C00000X
Private Vehicle
372500000X
Chore Provider
372600000X
Adult Companion
374U00000X
Home Health Aide
376J00000X
Homemaker
385H00000X
Respite Care

Other

Enumeration date
11/08/2024
Last updated
11/08/2024
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