| Safe Place | |
|
801 Se 6th Ave Ste 205 Delray Beach FL 33483-5185 | |
| (561) 523-3973 | |
| Not Available |
| Full Name | Safe Place |
|---|---|
| Speciality | Clinic/Center |
| Location | 801 Se 6th Ave Ste 205, Delray Beach, Florida |
| Authorized Official Name and Position | John Kennedy (VP OF OPERATIONS) |
| Authorized Official Contact | 5615633610 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Safe Place 801 Se 6th Ave Ste 205 Delray Beach FL 33483-5185 Ph: (561) 523-3973 | Safe Place 801 Se 6th Ave Ste 205 Delray Beach FL 33483-5185 Ph: (561) 523-3973 |
| NPI Number | 1922751858 |
|---|---|
| Provider Enumeration Date | 01/31/2022 |
| Last Update Date | 11/09/2023 |
| Medicare PECOS PAC ID | 3274919923 |
|---|---|
| Medicare Enrollment ID | O20221003002420 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922751858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Lisa Cicetti |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316102114 PECOS PAC ID: 0446328512 Enrollment ID: I20081003000177 |
| Provider Name | Patrick Michael Casey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477035707 PECOS PAC ID: 2567848237 Enrollment ID: I20221004000040 |
| Provider Name | Patrice Lynn Taylor |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1093961252 PECOS PAC ID: 1254598824 Enrollment ID: I20221011002774 |
| Provider Name | Amanda O'connor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942934237 PECOS PAC ID: 5193174092 Enrollment ID: I20231218000058 |
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