Organization
CREATE SPACE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN LEA LORENZEN LPC, LMHC (DIRECTOR)
(501) 590-6072
Entity
Organization
Contact information
Practice address
610 N BUCHANAN ST, LITTLE ROCK, AR 72205-3208
(501) 590-6072
Mailing address
610 N BUCHANAN ST, LITTLE ROCK, AR 72205-3208
(501) 590-6072
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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