Organization
INNER SPACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LANCE WHITE LPC (COUNSELOR)
(318) 295-0203
Entity
Organization
Contact information
Practice address
2924 KNIGHT ST STE 412, SHREVEPORT, LA 71105-2413
(318) 295-0203
Mailing address
PO BOX 596, PRINCETON, LA 71067-0596
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/18/2025
Last updated
03/21/2025
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