Organization
THE THERAPY SPACE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN BOYER WALTERS LCSW (OWNER/THERAPIST)
(217) 273-1849
Entity
Organization
Contact information
Practice address
503 E VANDALIA ST, EDWARDSVILLE, IL 62025-1893
(217) 273-1849
Mailing address
3328 DRYSDALE CT, EDWARDSVILLE, IL 62025-3217
(217) 273-1849
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/10/2026
Last updated
03/10/2026
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