# THE HEALING SPACE COUNSELING CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033503768
- **Authorized official:** TIFFANY BANDOW LISW (OWNER)
- **Authorized official phone:** (515) 423-2333

## Contact information

- **Practice address:** 3810 1/2 DOUGLAS AVE, DES MOINES, IA 50310-3610
- **Practice address phone:** (515) 423-2333
- **Mailing address:** 3810 1/2 DOUGLAS AVE, DES MOINES, IA 50310-3610
- **Mailing address phone:** (515) 423-2333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 06533 | IA | Yes |

## Other

- **Enumeration date:** 03/19/2015
- **Last updated:** 03/19/2015