Provider Demographics
NPI:1689562696
Name:MY SAFE SPACE COUNSELING, LLC
Entity type:Organization
Organization Name:MY SAFE SPACE COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHARLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGARY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:832-819-2802
Mailing Address - Street 1:7118 FANNIN ST
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-1112
Mailing Address - Country:US
Mailing Address - Phone:832-819-2802
Mailing Address - Fax:
Practice Address - Street 1:7118 FANNIN ST
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-1112
Practice Address - Country:US
Practice Address - Phone:832-819-2802
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-26
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty