Safe Space, Slc LLC

NPI #1063180057 in Salt Lake City, Utah

Provider Information

NPI Number: 1063180057
Entity Type: Organization
Organization Name: Safe Space, Slc LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Sep 2, 2021
Last Updated: Sep 2, 2021

Practice Location

Address: 807 E SOUTH TEMPLE STE 200
City: Salt Lake City
State: Utah
ZIP Code: 84102-1446
Phone: (310) 483-9577

Authorized Official

Name: MRS. JESSICA LEIGH WITHEE, LCSW
Title: OWNER/CLINICAL DIRECTOR
Phone: (310) 483-9577

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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