Space, Nichelle

Space, Nichelle is an sole proprietor health care provider with primary practice located at 8019 Compton Ave , Los Angeles CA 90001-3409. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Space, Nichelle can be contacted via phone (323) 586-7333.

Contact Information

Primary practice address
8019 Compton Ave Los Angeles CA 90001-3409
Phone: (323) 586-7333
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mental Health 225XM0800X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1013441211
LBN Legal business name Space, Nichelle
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2017
Last updated Feb 10th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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