| Heartspace Counseling, Plc | |
|
2502 Broadway Ave Sw Uppr Unit Roanoke VA 24014-1663 | |
| (540) 929-1909 | |
| (877) 775-8177 |
| Full Name | Heartspace Counseling, Plc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2502 Broadway Ave Sw Uppr Unit, Roanoke, Virginia |
| Authorized Official Name and Position | Robin L. Wiley (OWNER/DIRECTOR) |
| Authorized Official Contact | 5059206554 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartspace Counseling, Plc 2502 Broadway Ave Sw Uppr Unit Roanoke VA 24014-1663 Ph: (540) 929-1909 | Heartspace Counseling, Plc 2502 Broadway Ave Sw Uppr Unit Roanoke VA 24014-1663 Ph: (540) 929-1909 |
| NPI Number | 1770046120 |
|---|---|
| Provider Enumeration Date | 04/12/2019 |
| Last Update Date | 04/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770046120 | NPI | - | NPPES |
| 03871347 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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