Organization
SOUL SPACE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA HAMLIN LCSW (OWNER)
(520) 214-8650
Entity
Organization
Contact information
Practice address
1580 N KOLB RD STE 100, TUCSON, AZ 85715-4932
(520) 214-8650
Mailing address
10501 E SEVEN GENERATIONS WAY STE 121, TUCSON, AZ 85747-5828
(520) 214-8650
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447497417
—
NV
Enumeration date
10/16/2019
Last updated
07/10/2025
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