Inner Space LLC
NPI #1528868478 in Shreveport, Louisiana
Provider Information
- NPI Number
- 1528868478
- Entity Type
- Organization
- Organization Name
- Inner Space LLC
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Mar 18, 2025
- Last Updated
- Mar 21, 2025
Practice Location
- Address
- 2924 KNIGHT ST STE 412
- City
- Shreveport
- State
- Louisiana
- ZIP Code
- 71105-2413
- Phone
- (318) 295-0203
Authorized Official
- Name
- MR. LANCE WHITE, LPC
- Title
- COUNSELOR
- Phone
- (318) 295-0203
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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