Grey Space LLC

NPI #1205613965 in Irondale, Alabama

Provider Information

NPI Number: 1205613965
Entity Type: Organization
Organization Name: Grey Space LLC
Primary Specialty: Counselor - Mental Health
Enumeration Date: Sep 14, 2023
Last Updated: Sep 14, 2023

Practice Location

Address: 6001 OLD LEEDS RD
City: Irondale
State: Alabama
ZIP Code: 35210-4292
Phone: (205) 202-1883

Authorized Official

Name: SARAH ELISE TIDWELL, LPC
Title: OWNER
Phone: (205) 202-1883

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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