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Safe Space Therapy & Consulting, LLC

Details

Name: Safe Space Therapy & Consulting, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 07 Apr 2021 (4 years ago)
Entity Number: 000-845-523
Register Number: 000845523
County: Madison
Place of Formation: Alabama
Registered Office Street Address: 56 Hughes Rd #1951Madison, AL 35758
Registered Office Street Address ZIP Code: 35758

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1972247724 2022-04-26 2022-06-16 10243 LONG MEADOW RD, MADISON, AL, 357564225, US 604 DAVIS CIR SW, HUNTSVILLE, AL, 358015014, US

Contacts

Phone +1 256-479-2944
Phone +1 256-578-7054
Fax 2562874494

Authorized person

Name SHAQUETTA WILLIAMS
Role OWNER/THERAPIST
Phone 2565787054

Taxonomy

Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary Yes

Agent

Name Role
Young, Shaquetta Agent

Date of last update: 16 Aug 2024

Sources: Alabama Secretary of State