Provider Demographics
NPI:1336808344
Name:SAFE PLACE COUNSELING LLC
Entity Type:Organization
Organization Name:SAFE PLACE COUNSELING LLC
Other - Org Name:SAFE PLACE COUNSELING LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:KOWALSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:717-723-9578
Mailing Address - Street 1:203 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NEW HOLLAND
Mailing Address - State:PA
Mailing Address - Zip Code:17557-1321
Mailing Address - Country:US
Mailing Address - Phone:717-239-5787
Mailing Address - Fax:223-244-5298
Practice Address - Street 1:203 E MAIN ST
Practice Address - Street 2:
Practice Address - City:NEW HOLLAND
Practice Address - State:PA
Practice Address - Zip Code:17557-1321
Practice Address - Country:US
Practice Address - Phone:717-723-9578
Practice Address - Fax:223-244-5298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-17
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health