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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SELF SPACE LLC

Active Organization

SELF SPACE LLC is a Mental Health Counselor organization located in PHOENIX, Arizona. NPI 1568325462 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · PHOENIX, AZ

Registration Details

NPI Number
1568325462
Provider Type
Organization
NPI Issued
Dec 8, 2025 (0.66939974924363 yrs)
Last Updated
Dec 8, 2025

Practice Information

Address
34975 N NORTH VALLEY PKWY STE 152
PHOENIX, AZ, 850864032
Browse AZ providers · Browse ZIP 85086
Phone
6236968555
Primary Specialty
Mental Health Counselor
101YM0800X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.