Heart of Space Lcsw Pllc

NPI #1962365270 in Ghent, New York

Provider Information

NPI Number: 1962365270
Entity Type: Organization
Organization Name: Heart of Space Lcsw Pllc
Primary Specialty: Social Worker - Clinical
Enumeration Date: Dec 4, 2025
Last Updated: Dec 4, 2025

Practice Location

Address: 107 W VIEW DR
City: Ghent
State: New York
ZIP Code: 12075-1618
Phone: (917) 579-5592

Authorized Official

Name: JILL MAXI EDELSTEIN, LCSW
Title: OWNER
Phone: (917) 570-5592

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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