The Well Space Therapy, Pllc
NPI #1407563653 in Monroe, Washington
Provider Information
- NPI Number
- 1407563653
- Entity Type
- Organization
- Organization Name
- The Well Space Therapy, Pllc
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Oct 27, 2022
- Last Updated
- May 8, 2023
Practice Location
- Address
- 23712 105TH ST SE
- City
- Monroe
- State
- Washington
- ZIP Code
- 98272-8748
- Phone
- (425) 409-9671
Authorized Official
- Name
- TAHANI DAUGHERTY, LICSW
- Title
- MANAGING MEMBER
- Phone
- (425) 409-9671
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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