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Organization

HEARTSPACE KIDS INC

Active
Other names
Heartspace Kids Counseling Center
Organization subpart
No

Provider details

NPI number
Authorized official
DINA MARK LPC (EXECUTIVE DIRECTOR)
(719) 358-7437
Entity
Organization

Contact information

Practice address
1235 LAKE PLAZA DR STE 230, COLORADO SPRINGS, CO 80906-3556
(719) 358-7437
Mailing address
1235 LAKE PLAZA DR STE 230, COLORADO SPRINGS, CO 80906-3556
(719) 358-7437

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1041C0700X
Clinical Social Worker
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary

Other

Enumeration date
11/16/2022
Last updated
11/16/2022
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