Organization
THE HEALING SPACE COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY BANDOW LISW (OWNER)
(515) 423-2333
Entity
Organization
Contact information
Practice address
3810 1/2 DOUGLAS AVE, DES MOINES, IA 50310-3610
(515) 423-2333
Mailing address
3810 1/2 DOUGLAS AVE, DES MOINES, IA 50310-3610
(515) 423-2333
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
06533
IA
Other
Enumeration date
03/19/2015
Last updated
03/19/2015
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