The Healing Space, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

THE HEALING SPACE, LLC

Practice address

2055 Craigshire Rd Ste 420a
Saint Louis, MO 63146-4036

Phone

(314) 485-8991

NPI assigned

Jan 24, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Aryn Bostic, LPC, CD-PICDNPI 1730792722

Title

Ceo

Phone

(314) 485-8991

Specialties & licenses 1

Addresses

Other names 1

• The Healing Space, LLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aryn Bostic, MA, LPC, CD-PICD

  • Professional Counselor
  • Saint Louis, MO
  • NPI 1730792722
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614902400000",
    "number": "1043800923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 CRAIGSHIRE RD STE 420A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631464036",
            "telephone_number": "314-485-8991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 CRAIGSHIRE RD STE 420A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631464036",
            "telephone_number": "314-485-8991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEALING SPACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-24",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-04",
        "status": "A",
        "authorized_official_last_name": "BOSTIC",
        "authorized_official_first_name": "ARYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-485-8991",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC, CD-PICD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Healing Space, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Healing Space, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Professional Counselor in Saint Louis, MO
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.