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Organization

HEAD SPACE THERAPY CENTER

Active
Parent organization
HEAD SPACE THERAPY CENTER
Organization subpart
Yes

Provider details

NPI number
Legal business name
HEAD SPACE THERAPY CENTER
Authorized official
JUDY CAROL PARK PSYD (PSYCHOLOGIST)
(256) 501-1115
Entity
Organization

Contact information

Practice address
110 LILY FLAGG RD SE, HUNTSVILLE, AL 35802
(256) 501-1115
Mailing address
43 CASTLE DOWN DR SE, HUNTSVILLE, AL 35802-1293
(256) 426-4173

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Enumeration date
03/29/2024
Last updated
08/15/2024
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