Organization
THE WELL SPACE THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAHANI DAUGHERTY LICSW (MANAGING MEMBER)
(425) 409-9671
Entity
Organization
Contact information
Practice address
23712 105TH ST SE, MONROE, WA 98272-8748
(425) 409-9671
Mailing address
23712 105TH ST SE, MONROE, WA 98272-8748
(425) 409-9671
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/27/2022
Last updated
05/08/2023
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