A Healing Space LLC
Organization Active NPI Clinical Social Worker · Kansas City, MO
NPI 1972309482 · NPPES record last updated Feb 24, 2025
Key facts
- NPI
- 1972309482
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- A HEALING SPACE LLC
- Practice address
- 616 E 63Rd St Ste 204
Kansas City, MO 64110-3371 - Phone
- (816) 520-3556
- NPI assigned
- Feb 24, 2025
- Organization subpart
- No
Authorized official
- Name
- Jessica Carter, LCSW, LSCSW
- Title
- Owner
- Phone
- (816) 520-3556
National Provider Directory
Locations
616 E 63rd St
Ste 204
Kansas City, MO 64110
Phone (816) 200-0560
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
616 E 63Rd St Ste 204
Kansas City, MO 64110-3371
Mailing address
616 E 63Rd St Ste 204
Kansas City, MO 64110-3371
Phone (816) 520-3556
Other names
- CARTER
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.