Provider Demographics
NPI:1790676492
Name:A SAFE PLACE, INDIVIDUAL PSYCHOTHERAPY LLC
Entity type:Organization
Organization Name:A SAFE PLACE, INDIVIDUAL PSYCHOTHERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:HOFFMAN
Authorized Official - Last Name:STEPHENS
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:251-291-7233
Mailing Address - Street 1:260 S LAWRENCE ST
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36602-1900
Mailing Address - Country:US
Mailing Address - Phone:251-291-7233
Mailing Address - Fax:
Practice Address - Street 1:1290 MAIN ST STE C
Practice Address - Street 2:
Practice Address - City:DAPHNE
Practice Address - State:AL
Practice Address - Zip Code:36526-8624
Practice Address - Country:US
Practice Address - Phone:251-291-7233
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-10
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health