That Therapy Space

NPI #1356071260 in Liberty Lake, Washington

Provider Information

NPI Number: 1356071260
Entity Type: Organization
Organization Name: That Therapy Space
Primary Specialty: Counselor
Enumeration Date: Jun 14, 2022
Last Updated: Jun 14, 2022

Practice Location

Address: 23801 E APPLEWAY AVE STE 110
City: Liberty Lake
State: Washington
ZIP Code: 99019-9687
Phone: (321) 355-2010

Authorized Official

Name: HEATHER MICHELLE PINCELLI
Title: PRESIDENT
Phone: (208) 446-3220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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