Organization · Type 2 NPI

Black Space LLC

Mental Health Counselor · Bothell, WA

NPI number 1427860022 Active

Practice location

22722 29th Drive Southeast Suite 100
Bothell, WA 98021

Call (929) 445-7277 Map

Mailing address

300 Lenora St # 1348
Seattle, WA 98121-2411

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1427860022

Black Space LLC's National Provider Identifier is 1427860022, issued on Jan 22, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bothell, WA. The record was last updated on Jan 22, 2025.