A SAFE SPACE COUNSELING LLC
NPI 1417481235
Clinic/Center - Mental Health (Including Community Mental Health Center) in Longwood, FL

Active since April 18, 2017
1250 S US HIGHWAY 17 92 STE 150, LONGWOOD, FL 32750(407) 272-1715(321) 972-5071 Get Directions Write a Review

NPPES record last updated: September 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 6, 2024, Apr 27, 2017, Apr 18, 2017 (3 updates tracked since 2017).

About A Safe Space Counseling Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

A SAFE SPACE COUNSELING LLC (NPI 1417481235) is a healthcare organization registered as a mental health (including community mental health center) in Longwood, Florida and active in the NPI registry since April 2017. The organization maintains a secondary practice location in Maitland and lists Dora Lynn Henderson, Owner, as its authorized official.

NPPES Registry Identity

NPI1417481235
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameA SAFE SPACE COUNSELING LLC
Location Address1250 S US HIGHWAY 17 92 STE 150Longwood, FL 32750-5712
Mailing Address1250 S Us Highway 17 92 Ste 150Longwood, FL 32750-5712 · (321) 710-5649 · Fax (321) 972-5071
Fax(321) 972-5071
Organization SubpartNo
Authorized OfficialDora Lynn HendersonOwner · (321) 710-5649
Enumeration DateApril 18, 2017
Last NPPES UpdateSeptember 6, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2024
NPI 1417481235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X · License MH12311 (FL)
1250 S US HIGHWAY 17 92 STE 150, Longwood, FL 32750

Secondary Practice Location 1

Location 1100 E Sybelia Ave, suite 380Maitland, FL 32751-4763 · Phone (321) 710-5649

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
1250 S US HIGHWAY 17 92 STE 150
LONGWOOD, FL 32750

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is A Safe Space Counseling LLC's NPI number?

The NPI number for A Safe Space Counseling LLC is 1417481235. It was assigned to this organization in the NPPES registry on April 18, 2017.

Where is A Safe Space Counseling LLC located?

A Safe Space Counseling LLC is located at 1250 S Us Highway 17 92 Ste 150, Longwood, FL 32750. The listed phone number is (407) 272-1715.

What is A Safe Space Counseling LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for A Safe Space Counseling LLC was last updated on September 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.