# SPACE BETWEEN COUNSELING SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SPACE BETWEEN COUNSELING SERVICES, LLC
- **Other names:** Space Between Counseling Service, LLC, Space BetweenCounseling Services, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1215582093
- **Legal business name:** SPACE BETWEEN COUNSELING SERVICES, LLC
- **Authorized official:** MRS. SUSAN MORGAN STORK LCPC (FOUNDER)
- **Authorized official phone:** (443) 527-2042

## Contact information

- **Practice address:** 1501 SULGRAVE AVE STE 200A, BALTIMORE, MD 21209-4595
- **Practice address phone:** (443) 527-2042
- **Mailing address:** 1501 SULGRAVE AVE STE 200A, BALTIMORE, MD 21209-4595
- **Mailing address phone:** (443) 527-2042

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |

## Other

- **Enumeration date:** 08/07/2019
- **Last updated:** 08/07/2019