Spiritspace, Inc.

NPI #1659645067 in Galveston, Texas

Provider Information

NPI Number: 1659645067
Entity Type: Organization
Organization Name: Spiritspace, Inc.
Primary Specialty: Counselor - Mental Health
Enumeration Date: Mar 2, 2012
Last Updated: Aug 15, 2016

Practice Location

Address: 305 MOODY AVE
Address 2: SUITE 243
City: Galveston
State: Texas
ZIP Code: 77550-1696
Phone: (409) 765-6093

Authorized Official

Name: DR. MARY KAY SANDOR, PHD, LPC
Title: PRESIDENT
Phone: (409) 765-6093

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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