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Organization

HEALING SPACES PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAKENA ST MSW (OWNER)
(984) 313-2526
Entity
Organization

Contact information

Practice address
2310 S MIAMI BLVD STE 141, DURHAM, NC 27703-4900
(984) 313-2526
Mailing address
6409 FAYETTEVILLE RD STE 120, DURHAM, NC 27713-6297

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1041C0700X
Clinical Social Worker
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
11/20/2024
Last updated
01/26/2025
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