Therapy Space LLC

NPI #1073105011 in Madison, Wisconsin

Provider Information

NPI Number: 1073105011
Entity Type: Organization
Organization Name: Therapy Space LLC
Primary Specialty: Clinic/Center
Enumeration Date: Feb 10, 2021
Last Updated: Feb 10, 2021

Practice Location

Address: 740 REGENT ST STE 202
City: Madison
State: Wisconsin
ZIP Code: 53715-2649
Phone: (608) 572-2101

Authorized Official

Name: BRENDA LYNN HEIDEMAN, LCSW
Title: CO-OWNER
Phone: (608) 572-2101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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