Provider Demographics
NPI:1518858737
Name:SAFE SPACE COLLECTIVE LLC
Entity type:Organization
Organization Name:SAFE SPACE COLLECTIVE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:TAMIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:LYNCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-301-4888
Mailing Address - Street 1:7413 DUNOLLIE DR
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23838-5352
Mailing Address - Country:US
Mailing Address - Phone:804-301-4888
Mailing Address - Fax:866-339-1881
Practice Address - Street 1:7413 DUNOLLIE DR
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23838-5352
Practice Address - Country:US
Practice Address - Phone:804-301-4888
Practice Address - Fax:866-339-1881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-14
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health