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

Safe Space Residential LLC

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1588428635

Safe Space Residential LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Glen Allen, Virginia. Registered with an NPI since 2024.

In the registry since
2024
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

4610 Stonebrook Ct
Glen Allen, VA 23060-3632
Phone: (804) 586-4471
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X
Psychiatric Residential Treatment Facility Taxonomy 323P00000X

Record details

NPI number1588428635
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roger Graves — Ceo · (804) 586-4471
NPI enumeratedFebruary 9, 2024
Last updated in NPPESFebruary 9, 2024
Certification dateFebruary 9, 2024
Mailing address4100 Hyde Park Dr, Chester, VA 23831-4826

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