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

Queen of Safety Supply Co , LLC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1578182838

Queen of Safety Supply Co , LLC is an Addiction (Substance Use Disorder) Counselor in Manvel, Texas. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
10
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

9500 County Road 190
Manvel, TX 77578-5078
Phone: (225) 788-7048
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Case Management Agency Taxonomy 251B00000X
Home Health Agency Taxonomy 251E00000X
Community/Behavioral Health Agency Taxonomy 251S00000X
In Home Supportive Care Agency Taxonomy 253Z00000X
Assisted Living Facility (Mental Illness) Taxonomy 3104A0625X
Intellectual and/or Developmental Disabilities Residential Treatment Facility Taxonomy 320600000X
Psychiatric Residential Treatment Facility Taxonomy 323P00000X
Non-emergency Medical Transport (VAN) Taxonomy 343900000X

Record details

NPI number1578182838
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rachael Costly — Ceo · (225) 788-7048
NPI enumeratedApril 15, 2020
Last updated in NPPESApril 15, 2020
Certification dateApril 15, 2020
Mailing addressPo Box 720034, Houston, TX 77272-0034

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