BLACK SPACE LLC is a mental health counselor in Bothell, WA. BLACK SPACE LLC NPI is 1427860022. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
22722 29TH DRIVE SOUTHEAST SUITE 100 BOTHELL, WA ZIP 98021 Phone: (929) 445-7277
The provider's authorized official is Tamera Gittens . The authorized official title is Lmhc and has the following contact phone number (929) 445-7277.
The enumeration date for this NPI number is 1/22/2025 and was last updated on 1/22/2025.
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:
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: 11/21/2025
NPI Synchronization or Removal
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