True Space Counseling and Psychological Services

NPI #1306516323 in Olympia Fields, Illinois

Provider Information

NPI Number: 1306516323
Entity Type: Organization
Organization Name: True Space Counseling and Psychological Services
Primary Specialty: Psychologist
Enumeration Date: Sep 20, 2021
Last Updated: Sep 20, 2021

Practice Location

Address: 20280 GOVERNORS HWY STE 105
City: Olympia Fields
State: Illinois
ZIP Code: 60461-1068
Phone: (312) 248-3481

Authorized Official

Name: DR. AMANDA MICHELE LONG, PH.D.
Title: CLINICAL PSYCHOLOGIST
Phone: (312) 248-3481

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Social Worker	104100000X
Psychologist	103T00000X	Primary

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