Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

A Safe Space Counseling LLC

Organization Mental Health Counselor · NPI 1417481235

A Safe Space Counseling LLC is a Mental Health Counselor in Longwood, Florida. Works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2017
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1250 S US Highway 17 92 Ste 150
Longwood, FL 32750-5712
Phone: (407) 272-1715
Fax: (321) 972-5071
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 E Sybelia Ave, Maitland, FL 32751-4763 — (321) 710-5649

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X
Mental Health Counselor Taxonomy 101YM0800X
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X · Licence MH12311 (FL)

Record details

NPI number1417481235
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dora Henderson — Owner · (321) 710-5649
NPI enumeratedApril 18, 2017
Last updated in NPPESSeptember 6, 2024
Certification dateSeptember 6, 2024
Mailing address1250 S Us Highway 17 92 Ste 150, Longwood, FL 32750-5712

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