Organization · Type 2 NPI
Spiritspace, Inc.
Mental Health Counselor · Galveston, TX
NPI number
1659645067
Active
Practice location
305 Moody Ave, Suite 243
Galveston, TX 77550-1696
Fax (409) 765-6093
Mailing address
2228 Mechanic St, Suite 306
Galveston, TX 77550-1592
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 14440 (TX) |
Mental Health Counselor: Definition to come...
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About NPI 1659645067
Spiritspace, Inc.'s National Provider Identifier is 1659645067, issued on Mar 2, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Galveston, TX. The record was last updated on Aug 15, 2016.