Organization
FOURTH SPACE WELLNESS, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA DAWN SEEBECK LICSW (MANAGER OWNER)
(603) 315-7197
Entity
Organization
Contact information
Practice address
497 HOOKSETT RD, MANCHESTER, NH 03104-2698
(603) 945-0865
(603) 782-9328
Mailing address
497 HOOKSETT RD, MANCHESTER, NH 03104-2698
(603) 945-0865
(603) 782-9328
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/08/2025
Last updated
08/08/2025
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