Organization
INSIDE SPACE HEALING COLLECTIVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA DIGGS LCSW (CHIEF EXECUTIVE OFFICER)
(757) 449-2569
Entity
Organization
Contact information
Practice address
753 THIMBLE SHOALS BLVD STE D3, NEWPORT NEWS, VA 23606-3598
(757) 449-2569
Mailing address
438 DUNMORE DR, NEWPORT NEWS, VA 23602-6458
(757) 449-2569
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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