Organization
HEALING SPACE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE K LOGAN LCPC, NCC, CCMHC (OWNER)
(443) 764-7490
Entity
Organization
Contact information
Practice address
613 RIDGELY AVE, ANNAPOLIS, MD 21401-1069
(443) 764-7490
Mailing address
611 RIDGELY AVE, ANNAPOLIS, MD 21401-1069
(443) 764-7490
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
315015100
—
MD
Enumeration date
01/18/2023
Last updated
08/14/2025
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