HEARTSPACE COUNSELING PLC NPI 1770046120

NPI Information

HEARTSPACE COUNSELING, PLC is a mental health counselor in Roanoke, VA. HEARTSPACE COUNSELING, PLC NPI is 1770046120. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2502 BROADWAY AVE SW UPPR UNIT
ROANOKE, VA
ZIP 24014-663
Phone: (540) 929-1909
Fax: (877) 775-8177

The provider's authorized official is Robin L. Wiley .
The authorized official title is Owner/director and has the following contact phone number (505) 920-6554.

The enumeration date for this NPI number is 4/12/2019 and was last updated on 4/12/2019.

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:

Other Identifiers

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