NPI 1982380648 · live from the CMS NPI Registry
A Safe Port Counseling LLC
Social Worker, Clinical in Saint Augustine, FL. National Provider Identifier 1982380648, active.
NPI record
| NPI | 1982380648 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 4925 Atlantic Vw, Saint Augustine, FL 32080 |
| Practice phone | 662-315-8357 |
| Enumerated | June 26, 2023 |
| Last updated | September 12, 2024 |
| Authorized official | Justin Dement, Sole Mbr |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.