Organization
CREATIVE HEALING SPACE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA BARABY LICSW (OWNER)
(774) 264-1249
Entity
Organization
Contact information
Practice address
235 EMMETT ST, FALL RIVER, MA 02721-3523
(774) 264-3481
Mailing address
875 STATE RD, UNIT 11 #126, WESTPORT, MA 02790-2853
(774) 264-3481
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
01/04/2024
Last updated
01/04/2024
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