Provider Demographics
NPI:1447655980
Name:SAFENET SERVICES, INC.
Entity type:Organization
Organization Name:SAFENET SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICTIMS COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:K
Authorized Official - Last Name:FULTZ
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:918-341-1424
Mailing Address - Street 1:1219 W. DUPONT
Mailing Address - Street 2:
Mailing Address - City:CLAREMORE
Mailing Address - State:OK
Mailing Address - Zip Code:74017
Mailing Address - Country:US
Mailing Address - Phone:918-341-1424
Mailing Address - Fax:918-341-1471
Practice Address - Street 1:1219 W DUPONT ST
Practice Address - Street 2:
Practice Address - City:CLAREMORE
Practice Address - State:OK
Practice Address - Zip Code:74017-5318
Practice Address - Country:US
Practice Address - Phone:918-341-1424
Practice Address - Fax:918-341-1471
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-27
Last Update Date:2014-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3823251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable