Organization
HEALING SPACE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALINE ROBOLIN (SOLE MEMBER)
(706) 614-7341
Entity
Organization
Contact information
Practice address
1492 PRINCE AVE, ATHENS, GA 30606-2210
(706) 614-7341
Mailing address
PO BOX 5732, ATHENS, GA 30604-5732
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC 002575
GA
Other
Enumeration date
05/07/2008
Last updated
05/07/2008
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