# HEALING SPACE THERAPY, LLC

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

## Provider details

- **NPI number:** 1245938117
- **Authorized official:** EMILY KONICKI (OWNER)
- **Authorized official phone:** (478) 508-0915

## Contact information

- **Practice address:** 15200 S JOG RD STE 303, DELRAY BEACH, FL 33446-1249
- **Practice address phone:** (561) 501-1054
- **Mailing address:** 601 SW STUART WEST BLVD, PALM CITY, FL 34990-6240
- **Mailing address phone:** (478) 508-0915

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 02/21/2023
- **Last updated:** 02/21/2023
