Space To Heal Counseling And Wellness, PLLC
Counselor, Mental Health in Greensboro, NC. Organization (NPI-2).
NPI number1164071213
StatusActive
Last updated in NPPESSep 10, 2019
Details
- NPI
- 1164071213
- Entity type
- Organization (NPI-2)
- Legal business name
- Space To Heal Counseling And Wellness, PLLC
- Organization subpart
- No
- Enumeration date
- Sep 10, 2019
- Last updated
- Sep 10, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
713 N Eugene StGreensboro, NC 27401-1621
Phone 336-585-7188
Mailing address
317 College Rd Unit 304Greensboro, NC 27410-5385
Phone 336-402-4695
Authorized official
Carla Kucinski
Owner/Counselor
3364024695
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