Provider Demographics
NPI:1528885258
Name:SAFE PLACE MENTAL WELLNESS SERVICES LLC
Entity type:Organization
Organization Name:SAFE PLACE MENTAL WELLNESS SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JILLIAN
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:MESKELL
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:978-912-0877
Mailing Address - Street 1:3 CURLEY CIR
Mailing Address - Street 2:
Mailing Address - City:AYER
Mailing Address - State:MA
Mailing Address - Zip Code:01432-3322
Mailing Address - Country:US
Mailing Address - Phone:978-912-0877
Mailing Address - Fax:
Practice Address - Street 1:288 LITTLETON RD STE 29
Practice Address - Street 2:
Practice Address - City:WESTFORD
Practice Address - State:MA
Practice Address - Zip Code:01886-3527
Practice Address - Country:US
Practice Address - Phone:978-912-0877
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-24
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health