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HEALING SPACE LLC NPI 1427639822


NPI Information

NPI: 1427639822
Provider Name: HEALING SPACE, LLC

Former Legal Business Name: HEALING SPACE, LLC

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
106 OIL CENTER DR STE 220
LAFAYETTE, LA
ZIP 70503
Phone: (337) 222-5880
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HEALING SPACE, LLC is a mental health counselor in Lafayette, LA. HEALING SPACE, LLC NPI is 1427639822. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Healing Space, Llc.

The provider's business location address is:

106 OIL CENTER DR STE 220
LAFAYETTE, LA
ZIP 70503-482
Phone: (337) 222-5880

The provider's authorized official is Crystal Kennedy .
The authorized official title is Owner and has the following contact phone number (337) 222-5880.

The enumeration date for this NPI number is 4/16/2021 and was last updated on 5/20/2021.


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
1101YM0800XCounselorMental HealthYes
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No

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: 11/14/2023

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