Organization
HEALING SPACE, LLC
Active
Other names
Healing Space, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL KENNEDY (OWNER)
(337) 222-5880
Entity
Organization
Contact information
Practice address
106 OIL CENTER DR STE 220, LAFAYETTE, LA 70503-2482
(337) 222-5880
Mailing address
PO BOX 53164, LAFAYETTE, LA 70505-3164
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
04/16/2021
Last updated
05/20/2021
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