| Helping Space, Llc | |
|
2708 Alt 19 Ste 507-13 Palm Harbor FL 34683-2634 | |
| (727) 201-2163 | |
| (727) 290-4156 |
| Full Name | Helping Space, Llc |
|---|---|
| Speciality | Counselor |
| Location | 2708 Alt 19 Ste 507-13, Palm Harbor, Florida |
| Authorized Official Name and Position | Amy Lynne Johnson (OWNER/LICENSED MENTAL HEALTH COUNSE) |
| Authorized Official Contact | 7272012163 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Helping Space, Llc 2708 Alt 19 Ste 507-13 Palm Harbor FL 34683-2634 Ph: (727) 201-2163 | Helping Space, Llc 2708 Alt 19 Ste 507-13 Palm Harbor FL 34683-2634 Ph: (727) 201-2163 |
| NPI Number | 1518717602 |
|---|---|
| Provider Enumeration Date | 03/25/2024 |
| Last Update Date | 03/25/2024 |
| Certification Date | 03/23/2024 |
| Medicare PECOS PAC ID | 0941647333 |
|---|---|
| Medicare Enrollment ID | O20240320004227 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518717602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Amy Lynne Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588809396 PECOS PAC ID: 6305283797 Enrollment ID: I20240329002557 |
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