| That Therapy Space | |
|
23801 E Appleway Ave Ste 110 Liberty Lake WA 99019-9687 | |
| (321) 355-2010 | |
| Not Available |
| Full Name | That Therapy Space |
|---|---|
| Speciality | Counselor |
| Location | 23801 E Appleway Ave Ste 110, Liberty Lake, Washington |
| Authorized Official Name and Position | Heather Michelle Pincelli (PRESIDENT) |
| Authorized Official Contact | 2084463220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| That Therapy Space Po Box 322 Liberty Lake WA 99019-0322 Ph: () - | That Therapy Space 23801 E Appleway Ave Ste 110 Liberty Lake WA 99019-9687 Ph: (321) 355-2010 |
| NPI Number | 1356071260 |
|---|---|
| Provider Enumeration Date | 06/14/2022 |
| Last Update Date | 06/14/2022 |
| Certification Date | 06/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356071260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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