Organization
SPACE TO HEAL MENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AASIYAH CLARK (PSYCHOTHERAPIST)
(832) 947-4673
Entity
Organization
Contact information
Practice address
333 W BROWN DEER RD UNIT G526, MILWAUKEE, WI 53217-2372
(832) 947-4673
Mailing address
333 W BROWN DEER RD UNIT G526, MILWAUKEE, WI 53217-2372
(832) 947-4673
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235578709
—
LA
Enumeration date
03/06/2021
Last updated
03/06/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us