HEALING SPACE LLC NPI 1710153879

NPI Information

NPI: 1710153879
Provider Name: HEALING SPACE, LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
1492 PRINCE AVE
ATHENS, GA
ZIP 30606
Phone: (706) 614-7341
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HEALING SPACE, LLC is a professional counselor in Athens, GA. HEALING SPACE, LLC NPI is 1710153879. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1492 PRINCE AVE
ATHENS, GA
ZIP 30606-210
Phone: (706) 614-7341

The provider's authorized official is Aline Robolin .
The authorized official title is Sole Member and has the following contact phone number (706) 614-7341.

The enumeration date for this NPI number is 5/7/2008 and was last updated on 5/7/2008.

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
1	101YP2500X	Counselor	Professional	LPC 002575	GEORGIA	Yes

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

NPI Synchronization or Removal

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