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Organization
HEART OF SPACE LCSW PLLC
Active
Organization
HEART OF SPACE LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL MAXI EDELSTEIN LCSW (OWNER)
(917) 570-5592
Entity
Organization
Contact information
Practice address
107 W VIEW DR, GHENT, NY 12075-1618
(917) 579-5592
Mailing address
107 W VIEW DR, GHENT, NY 12075-1618
(917) 579-5592
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/04/2025
Last updated
12/04/2025
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