| Empathic Space, Llc | |
|
134 Lexington St Valparaiso IN 46385-7905 | |
| (219) 228-0107 | |
| Not Available |
| Full Name | Empathic Space, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 134 Lexington St, Valparaiso, Indiana |
| Authorized Official Name and Position | Desai Negrelli (OWNER) |
| Authorized Official Contact | 2192280107 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Empathic Space, Llc 134 Lexington St Valparaiso IN 46385-7905 Ph: (219) 228-0107 | Empathic Space, Llc 134 Lexington St Valparaiso IN 46385-7905 Ph: (219) 228-0107 |
| NPI Number | 1386470318 |
|---|---|
| Provider Enumeration Date | 09/09/2024 |
| Last Update Date | 09/09/2024 |
| Certification Date | 09/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386470318 | NPI | - | NPPES |
| 1831937143 | Other | IN | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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