| Holding Space Therapy, Llc | |
|
273 E 7th St Bloomsburg PA 17815-2853 | |
| (570) 415-1982 | |
| Not Available |
| Full Name | Holding Space Therapy, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 273 E 7th St, Bloomsburg, Pennsylvania |
| Authorized Official Name and Position | Catherine Rose Temple (PROVIDER/OWNER) |
| Authorized Official Contact | 5704151982 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Holding Space Therapy, Llc 273 E 7th St Bloomsburg PA 17815-2853 Ph: (570) 415-1982 | Holding Space Therapy, Llc 273 E 7th St Bloomsburg PA 17815-2853 Ph: (570) 415-1982 |
| NPI Number | 1427767946 |
|---|---|
| Provider Enumeration Date | 11/23/2022 |
| Last Update Date | 06/04/2024 |
| Certification Date | 06/04/2024 |
| Medicare PECOS PAC ID | 5991174435 |
|---|---|
| Medicare Enrollment ID | O20221206001058 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427767946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Catherine R Temple |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891398194 PECOS PAC ID: 8527437060 Enrollment ID: I20221206001185 |
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