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Organization
SPIRITSPACE, INC.
Active
Organization
SPIRITSPACE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY KAY SANDOR PHD, LPC (PRESIDENT)
(409) 765-6093
Entity
Organization
Contact information
Practice address
305 MOODY AVE, SUITE 243, GALVESTON, TX 77550-1696
(409) 765-6093
(409) 765-6093
Mailing address
2228 MECHANIC ST, SUITE 306, GALVESTON, TX 77550-1592
(409) 765-6093
(409) 765-6093
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
14440
TX
Other
Enumeration date
03/02/2012
Last updated
08/15/2016
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