| Heart Space Mental Health Llc | |
|
17 N 5th Ave # 1029 Beech Grove IN 46107-1325 | |
| (317) 210-1175 | |
| Not Available |
| Full Name | Heart Space Mental Health Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 17 N 5th Ave # 1029, Beech Grove, Indiana |
| Authorized Official Name and Position | Dianna Stallings (THERAPIST) |
| Authorized Official Contact | 6193023697 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heart Space Mental Health Llc 5845 Carrollton Ave Indianapolis IN 46220-2617 Ph: (619) 302-3697 | Heart Space Mental Health Llc 17 N 5th Ave # 1029 Beech Grove IN 46107-1325 Ph: (317) 210-1175 |
| NPI Number | 1841906740 |
|---|---|
| Provider Enumeration Date | 01/25/2023 |
| Last Update Date | 01/25/2023 |
| Certification Date | 01/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841906740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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