Organization
THERAPY SPACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA LYNN HEIDEMAN LCSW (CO-OWNER)
(608) 572-2101
Entity
Organization
Contact information
Practice address
740 REGENT ST STE 202, MADISON, WI 53715-2649
(608) 572-2101
Mailing address
740 REGENT ST STE 202, MADISON, WI 53715-2649
(608) 572-2101
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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