Organization
CREATING SPACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY N THOMAS MSW, LCSW (LCSW)
(406) 590-4792
Entity
Organization
Contact information
Practice address
4371 DEVERAUX PL UNIT A, MISSOULA, MT 59808-5334
(406) 590-4792
Mailing address
4371 DEVERAUX PL UNIT A, MISSOULA, MT 59808-5334
(406) 590-4792
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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