GREY SPACE LLC NPI 1205613965

NPI Information

  • NPI: 1205613965
  • Provider Name: GREY SPACE LLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 6001 OLD LEEDS RD
    IRONDALE, AL
    ZIP 35210
  • Phone: (205) 202-1883

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NPI Details

GREY SPACE LLC is a mental health counselor in Irondale, AL. GREY SPACE LLC NPI is 1205613965. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6001 OLD LEEDS RD
IRONDALE, AL
ZIP 35210-292
Phone: (205) 202-1883

The provider's authorized official is Sarah Elise Tidwell .
The authorized official title is Owner and has the following contact phone number (205) 202-1883.

The enumeration date for this NPI number is 9/14/2023 and was last updated on 9/14/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes

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: 3/30/2025

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