Provider Demographics
NPI:1497048284
Name:SAAFE HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:SAAFE HEALTH SERVICES LLC
Other - Org Name:SAAFE HEALTH SERVICES LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARVEY-LENTS
Authorized Official - Suffix:
Authorized Official - Credentials:RMFT
Authorized Official - Phone:386-308-5889
Mailing Address - Street 1:901 MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32114-1811
Mailing Address - Country:US
Mailing Address - Phone:386-334-4583
Mailing Address - Fax:
Practice Address - Street 1:901 MADISON AVE
Practice Address - Street 2:
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32114-1811
Practice Address - Country:US
Practice Address - Phone:386-334-4583
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLADC-010572-2015103TA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)Group - Multi-Specialty