HEART SPACE LLC NPI 1538368139

NPI Information

  • NPI: 1538368139
  • Provider Name: HEART SPACE LLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 940 W CLARKSTON RD
    LAKE ORION, MI
    ZIP 48362
  • Phone: (248) 894-4573

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NPI Details

HEART SPACE LLC is a mental health counselor in Lake Orion, MI. HEART SPACE LLC NPI is 1538368139. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

940 W CLARKSTON RD
LAKE ORION, MI
ZIP 48362-575
Phone: (248) 894-4573
Fax: (248) 690-7030

The provider's authorized official is Maria Pia Rosa Linsalata .
The authorized official title is Owner and has the following contact phone number (248) 894-4573.

The enumeration date for this NPI number is 7/13/2007 and was last updated on 7/17/2007.

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
11041C0700XSocial WorkerClinical6801079215MICHIGANNo
2106H00000XMarriage & Family Therapist6801079215MICHIGANNo
3101YM0800XCounselorMental Health6801079215MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18008987610OTHERMICHIGANBCBS

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: 11/21/2025

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