| Healing Space Therapy, Llc | |
|
15200 S Jog Rd Ste 303 Delray Beach FL 33446-1249 | |
| (561) 501-1054 | |
| Not Available |
| Full Name | Healing Space Therapy, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 15200 S Jog Rd Ste 303, Delray Beach, Florida |
| Authorized Official Name and Position | Emily Konicki (OWNER) |
| Authorized Official Contact | 4785080915 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Space Therapy, Llc 601 Sw Stuart West Blvd Palm City FL 34990-6240 Ph: (478) 508-0915 | Healing Space Therapy, Llc 15200 S Jog Rd Ste 303 Delray Beach FL 33446-1249 Ph: (561) 501-1054 |
| NPI Number | 1245938117 |
|---|---|
| Provider Enumeration Date | 02/21/2023 |
| Last Update Date | 02/21/2023 |
| Certification Date | 02/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245938117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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