| The Healing Space Llc | |
|
11 S Main St Ste 200 Concord NH 03301-4846 | |
| (781) 513-1577 | |
| Not Available |
| Full Name | The Healing Space Llc |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 11 S Main St Ste 200, Concord, New Hampshire |
| Authorized Official Name and Position | Amanda Sadat (OWNER) |
| Authorized Official Contact | 6037149474 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Healing Space Llc 11 S Main St Ste 200 Concord NH 03301-4846 Ph: (781) 513-1577 | The Healing Space Llc 11 S Main St Ste 200 Concord NH 03301-4846 Ph: (781) 513-1577 |
| NPI Number | 1336912286 |
|---|---|
| Provider Enumeration Date | 11/02/2023 |
| Last Update Date | 12/06/2023 |
| Certification Date | 12/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336912286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
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