Organization
HEARTSPACE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS LAWRENCE PHD (OWNER/OPERATOR)
(573) 214-0436
Entity
Organization
Contact information
Practice address
201 W BROADWAY STE E, COLUMBIA, MO 65203-3842
(573) 214-0436
Mailing address
201 W BROADWAY STE E, COLUMBIA, MO 65203-3842
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/20/2019
Last updated
06/20/2019
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