Organization
CREATE SPACE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRIAM YASGUR (OWNER)
(617) 396-7148
Entity
Organization
Contact information
Practice address
1675 MASSACHUSETTS AVE STE 1B, CAMBRIDGE, MA 02138-1872
(617) 396-7148
Mailing address
1675 MASSACHUSETTS AVE STE 1B, CAMBRIDGE, MA 02138-1872
(617) 396-7148
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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