SPIRITSPACE, INC. (NPI# 1659645067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659645067 |
| Entity Type | Organization |
| Organization Name | SPIRITSPACE, INC. |
| Practice Address |
305 Moody Ave Suite 243 Galveston TX 77550-1696 |
| Mailing Address |
2228 Mechanic St Suite 306 Galveston TX 77550-1592 |
| Practice Telephone | 4097656093 |
| Practice Fax Number | 4097656093 |
| Mailing Telephone | 4097656093 |
| Mailing Fax Number | 4097656093 |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2016-08-15 |
| Authorized Official Name | DR. MARY KAY SANDOR (PRESIDENT) |
| Authorized Official Telephone | 4097656093 |
| Authorized Official Credential | PHD, LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
14440 | TX | Behavioral Health & Social Service Providers |
| Street Address |
305 MOODY AVE SUITE 243 |
| City | GALVESTON |
| State | TX |
| Zip Code | 77550-1696 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265087548 | Galveston Chiropractic | Chiropractor | 1023 21st Street, Galveston, TX 77550 | 2019-08-05 |
| 1134615461 | Roxanne Marie Morales | Emergency Medicine | 301 8th Street, Galveston, TX 77550 | 2018-07-10 |
| 1669911541 | Maryann Martin | Nurse Practitioner | 901 Harborside Drive, Galveston, TX 77550 | 2017-02-13 |
| 1942563945 | Sheba Ann Luke | Nurse Practitioner | 400 Harborside Dr #104, Galveston, TX 77550 | 2012-06-25 |
| 1679847123 | Deanna Lynn Ball | Counselor | 2121 Market St Ste 208, Galveston, TX 77550 | 2012-03-01 |
| 1881919611 | Gursaran Banipal Morrical | Emergency Medicine | 901 Harborside Dr, Galveston, TX 77550 | 2010-04-05 |
| 1477885770 | George Michael Moore | Dentist | 2002 45th St, Galveston, TX 77550 | 2010-02-11 |
| 1205067311 | Kristen Cares, Inc | In Home Supportive Care | 1623 Broadway, Galveston, TX 77550 | 2009-08-06 |
| 1518114552 | Julie Mary Bonomo | Speech-Language Pathologist | 928 Broadway St, Galveston, TX 77550 | 2008-08-21 |
| 1104091487 | Galveston Dermatology, P.a. | Dermatology | 1501 Broadway Ave, Galveston, TX 77550 | 2008-04-28 |
| Find all providers in zip 77550 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831636448 | Goals, LLC | Counselor | 1409 39th St, Galveston, TX 77550-3929 | 2017-01-21 |
| 1639511553 | Stephen Lee Fischer | Counselor | 6372 Sea Isle, Galveston, TX 77554-9660 | 2013-07-19 |
| 1629384508 | Joseph Michael Elliott | Counselor | 2201 Market St Ste 404a, Galveston, TX 77550-1527 | 2010-08-30 |
| 1376754275 | Nancy Elizabeth Davis | Counselor | 5024 Ave. N and A Half, Galveston, TX 77551-1837 | 2007-05-24 |
| 1790901403 | M. Kay Sandor | Counselor | 305 21st St Ste 243, Galveston, TX 77550-1678 | 2007-04-18 |
| 1235251273 | Barbara C Oglesby | Counselor | 13123 John Reynolds Rd, Galveston, TX 77554-9716 | 2007-04-03 |
| 1245380609 | Deanna Gayle Kasper | Counselor | 2121 Market St Ste 204, Galveston, TX 77550-1684 | 2007-01-10 |
| 1902871833 | Family Service Center of Galveston County, Texas | Counselor | 2200 Market St, Suite 600, Galveston, TX 77550-1530 | 2006-02-22 |
| 1104316892 | Caroline Ashlie Gaddis | Counselor | 2200 Market St Ste 600, Galveston, TX 77550-1532 | 2018-05-17 |
| 1265920219 | Tiffany Perry | Counselor | 2200 Market St Ste 600, Galveston, TX 77550-1532 | 2018-04-25 |
| Find all providers in GALVESTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.