Mending Space Pllc
NPI #1114756343 in Springfield, Illinois
Provider Information
- NPI Number
- 1114756343
- Entity Type
- Organization
- Organization Name
- Mending Space Pllc
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jul 27, 2024
- Last Updated
- Jul 27, 2024
Practice Location
- Address
- 2501 CHATHAM RD # 5487
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62704-4188
- Phone
- (217) 303-8379
Authorized Official
- Name
- MICHELLE HOOKS, LCSW
- Title
- OWNER
- Phone
- (217) 303-8379
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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