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Organization

WELL WITH IN MY SPACE LLC

Active
Other names
Well Within My Space
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TAREN ALLEN LCSW (OWNER)
(214) 810-5368
Entity
Organization

Contact information

Practice address
1814 BEAUMONT ST, GRAND PRAIRIE, TX 75051-1317
(214) 810-5368
Mailing address
1814 BEAUMONT ST, GRAND PRAIRIE, TX 75051-1317
(214) 810-5368

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
10/12/2021
Last updated
12/14/2021
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