Organization
PERSONAL SPACE: SELF CENTERING THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYMPHONIE D SMITH (OWNER)
(330) 485-6202
Entity
Organization
Contact information
Practice address
24100 CHAGRIN BLVD, BEACHWOOD, OH 44122-5535
(330) 485-6202
Mailing address
12756 MILLSTREAM DR, BOWIE, MD 20715-1637
(330) 485-6202
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0288471
—
OH
Enumeration date
08/16/2021
Last updated
08/16/2021
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