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Organization
INSIDE SPACE HEALING COLLECTIVE LLC
Active
Organization
INSIDE SPACE HEALING COLLECTIVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA DIGGS LCSW (CHIEF EXECUTIVE OFFICER)
(757) 449-2569
Entity
Organization
Contact information
Practice address
753 THIMBLE SHOALS BLVD STE D3, NEWPORT NEWS, VA 23606-3598
(757) 449-2569
Mailing address
438 DUNMORE DR, NEWPORT NEWS, VA 23602-6458
(757) 449-2569
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
NULL
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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