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.