Healing Space, LLC

NPI #1427639822 in Lafayette, Louisiana

Provider Information

NPI Number: 1427639822
Entity Type: Organization
Organization Name: Healing Space, LLC
Primary Specialty: Counselor - Mental Health
Enumeration Date: Apr 16, 2021
Last Updated: May 20, 2021

Practice Location

Address: 106 OIL CENTER DR STE 220
City: Lafayette
State: Louisiana
ZIP Code: 70503-2482
Phone: (337) 222-5880

Authorized Official

Name: CRYSTAL KENNEDY
Title: OWNER
Phone: (337) 222-5880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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