Organization Active NPI

The Healing Space PLLC

  • Clinical Social Worker
  • Queen Creek, AZ
National Provider Identifier
1780411777
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
THE HEALING SPACE PLLC
Practice address
25329 S 227TH St
Queen Creek, AZ 85142-2161
Phone
(775) 224-4629
NPI assigned
Sep 16, 2024
Last updated
Sep 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Authorized official

Name
Brittany Jo Larson, LCSWNPI 1750013108
Title
Owner/Therapist
Phone
(480) 617-3912

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

25329 S 227TH St
Queen Creek, AZ 85142-2161

Mailing address

25329 S 227TH St
Queen Creek, AZ 85142-2161
Phone (480) 617-3912

Other names 1

  • The Healing Space Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1780411777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25329 S 227TH ST",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851422161",
            "telephone_number": "480-617-3912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25329 S 227TH ST",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851422161",
            "telephone_number": "775-224-4629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEALING SPACE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-16",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "480-617-3912",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Healing Space",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "The Healing Space",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Queen Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.