Therapy Space LLC

NPI #1679329486 in Pahoa, Hawaii

Provider Information

NPI Number: 1679329486
Entity Type: Organization
Organization Name: Therapy Space LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Apr 24, 2024
Last Updated: May 22, 2024

Practice Location

Address: RR 3 81766
City: Pahoa
State: Hawaii
ZIP Code: 96778
Phone: (808) 481-7283

Authorized Official

Name: TALIESIN SUMNER-LONGBOY, MSW
Title: OWNER
Phone: (808) 481-7283

Specialties & Taxonomy Codes

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

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