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Organization
OPEN SPACE THERAPY, PLLC
Active
Organization
OPEN SPACE THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN POTTS KIMBERLY LCSW (OWNER)
(703) 254-4024
Entity
Organization
Contact information
Practice address
1829 E FRANKLIN ST, SUITE 100-J, CHAPEL HILL, NC 27514-5861
(703) 254-4024
Mailing address
302 SUNSET CREEK CIR, CHAPEL HILL, NC 27516-4628
(703) 254-4024
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
C003850
NC
Other
Enumeration date
09/26/2016
Last updated
09/26/2016
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