Organization
SPACIOUS AWARENESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SAMANTHA RAE BAILO LMHC (OWNER/OPERATOR)
(440) 382-7179
Entity
Organization
Contact information
Practice address
9960 LYNN LAKE RD, GAYLORD, MI 49735-8886
(440) 382-7179
Mailing address
9960 LYNN LAKE RD, GAYLORD, MI 49735-8886
(440) 382-7179
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/03/2024
Last updated
08/06/2025
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