Provider Demographics
NPI:1124800974
Name:SAFE SHORE WELLNESS LLC
Entity type:Organization
Organization Name:SAFE SHORE WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATION
Authorized Official - Prefix:
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:
Authorized Official - Last Name:SALAAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-877-6983
Mailing Address - Street 1:663 PARK MEADOW RD STE D
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-2880
Mailing Address - Country:US
Mailing Address - Phone:617-877-6983
Mailing Address - Fax:
Practice Address - Street 1:663 PARK MEADOW RD STE D
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-2880
Practice Address - Country:US
Practice Address - Phone:617-877-6983
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-17
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty