# MINDSPACE PSYCHOTHERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** www.mindspacetherapy.com
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124615968
- **Authorized official:** NALINI CHANNAPATNA PRASANNA LCSW (MEMBER)
- **Authorized official phone:** (775) 379-3529

## Contact information

- **Practice address:** 515 COURT ST STE 2E, RENO, NV 89501-1710
- **Practice address phone:** (775) 379-3529
- **Mailing address:** 515 COURT ST STE 2E, RENO, NV 89501-1710
- **Mailing address phone:** (775) 379-3529

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 12/28/2020
- **Last updated:** 12/28/2020