Heart Space Counseling Center, LLC

NPI #1861752750 in Tenaha, Texas

Provider Information

NPI Number: 1861752750
Entity Type: Organization
Organization Name: Heart Space Counseling Center, LLC
Primary Specialty: Occupational Therapist
Enumeration Date: May 24, 2012
Last Updated: May 24, 2012

Practice Location

Address: 649 COUNTY ROAD 433
City: Tenaha
State: Texas
ZIP Code: 75974-6332
Phone: (903) 692-3463

Authorized Official

Name: TERRIE MAE KING, OT
Title: MEMBER
Phone: (903) 692-3463

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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