Provider Demographics
NPI:1427875731
Name:HAMSA HEALING SPACE, A PROFESSIONAL CLINICAL COUNSELING CORPORATION
Entity type:Organization
Organization Name:HAMSA HEALING SPACE, A PROFESSIONAL CLINICAL COUNSELING CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:BRIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC, LMHC
Authorized Official - Phone:858-859-1391
Mailing Address - Street 1:197 WOODLAND PKWY
Mailing Address - Street 2:SUITE 104 #802
Mailing Address - City:SAN MARCOS
Mailing Address - State:CA
Mailing Address - Zip Code:92069
Mailing Address - Country:US
Mailing Address - Phone:858-859-1391
Mailing Address - Fax:
Practice Address - Street 1:12435 CLOUDESLY DR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92128-1005
Practice Address - Country:US
Practice Address - Phone:858-472-5030
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-26
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health