| NPI | 1275326530 |
|---|---|
| Doing Business As | THIRDSPACE PSYCHOTHERAPY |
| Entity Type | Organization |
| Authorized Contact | TYLER ALLEN CONNER Owner 917-885-7734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-05-28 |
| Last Update Date | 2025-05-28 |