Your Healing Space Therapy PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

YOUR HEALING SPACE THERAPY PLLC

Practice address

77 Sugar Creek Center Blvd
Sugar Land, TX 77478-3580

Phone

(708) 918-5471

NPI assigned

May 26, 2020

Last updated

Aug 24, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dariel Davis, LCPCNPI 1316456445

Title

Clinical Therapist/Owner

Phone

(773) 983-2254

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dariel Davis, LCPC

  • Professional Counselor
  • Sugar Land, TX
  • NPI 1316456445
  NPD Authorized official

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

{
    "created_epoch": "1590451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1144843038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 MOUNTAIN CREEK ST",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775848487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 SUGAR CREEK CENTER BLVD",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783580",
            "telephone_number": "708-918-5471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1136 S Delano Ct W Ste B201",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606053734",
            "country_code": "US",
            "telephone_number": "708-918-5471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "YOUR HEALING SPACE THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-26",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "DARIEL",
        "authorized_official_title_or_position": "CLINICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "773-983-2254",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Karl Dawyuan Yu, P.A.
• Mason Juehon Yu, PA
• Quntao Yu, MD
• Sangmo Dannie Yu, D.D.S.

• Professional Counselor in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.