Organization
HEALING SPACE THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY KONICKI (OWNER)
(478) 508-0915
Entity
Organization
Contact information
Practice address
15200 S JOG RD STE 303, DELRAY BEACH, FL 33446-1249
(561) 501-1054
Mailing address
601 SW STUART WEST BLVD, PALM CITY, FL 34990-6240
(478) 508-0915
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
02/21/2023
Last updated
02/21/2023
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