Your Safe Space
LBN: Your Safe Space
Your Safe Space is an health care organization with primary practice located at 10111 Martin Luther King Jr Hwy Ste 103 , Bowie MD 20720-4225. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty.
Your Safe Space can be contacted via phone (301) 459-0708, or through Simms, Carolyn via phone (301) 980-4581.
Contact Information
Primary practice address
10111 Martin Luther King Jr Hwy Ste 103
Bowie MD 20720-4225
Phone: (301) 459-0708
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | ||
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X |
Profile Details
| NPI number | 1982348165 |
|---|---|
| LBN Legal business name | Your Safe Space |
| DBA Doing business as | |
| Authorized official | Simms, Carolyn LCPC |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 25th, 2022 |
| Last updated | Apr 25th, 2022 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982348165 | NPPES |
| Maryland | MEDICAID | 819022400 |
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