# YOUR SPACE THERAPY

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

## Provider details

- **NPI number:** 1215560735
- **Authorized official:** MISTY L ROONEY LCSW (THERAPIST)
- **Authorized official phone:** (480) 442-3354

## Contact information

- **Practice address:** 3961 E CHANDLER BLVD STE 111-112, PHOENIX, AZ 85048-0303
- **Practice address phone:** (480) 442-3354
- **Mailing address:** 3961 E CHANDLER BLVD STE 111-112, PHOENIX, AZ 85048-0303
- **Mailing address phone:** (480) 442-3354

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 02/13/2020
- **Last updated:** 02/13/2020