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HOLDING SPACE LLC NPI 1033772421


NPI Information

NPI: 1033772421
Provider Name: HOLDING SPACE LLC

Doing Business As: TIFFANY MANRODT

Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
24481 DETROIT RD STE 201
WESTLAKE, OH
ZIP 44145
Phone: (440) 310-6361
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HOLDING SPACE LLC is a psychiatry psychiatry neurology in Westlake, OH. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. HOLDING SPACE LLC NPI is 1033772421. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Tiffany Manrodt.

The provider's business location address is:

24481 DETROIT RD STE 201
WESTLAKE, OH
ZIP 44145-557
Phone: (440) 310-6361
Fax: (440) 625-2592

The provider's authorized official is Tiffany Manrodt .
The authorized official title is Clinical Director, Lisw and has the following contact phone number (440) 226-6531.

The enumeration date for this NPI number is 4/21/2019 and was last updated on 5/4/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YP2500XCounselorProfessionalNo
2104100000XSocial WorkerNo
31041C0700XSocial WorkerClinicalNo
4363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
52084P0800XPsychiatry & NeurologyPsychiatryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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