Wellformed AI

NPI 1497467708 · live from the CMS NPI Registry

A Space For Us Counseling

Clinic/Center, Mental Health (Including Community Mental Health Center) in Gloucester City, NJ. National Provider Identifier 1497467708, active.

NPI record

NPI1497467708 Type 2 · organization
StatusActive
Primary specialtyClinic/Center, Mental Health (Including Community Mental Health Center) 261QM0801X
Practice location535 Monmouth St, Gloucester City, NJ 08030
Practice phone609-920-3848
EnumeratedDecember 19, 2022
Last updatedAugust 21, 2026
Authorized officialKeana Reed, Owner

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker, Clinical1041C0700X—
Clinic/Center, Mental Health (Including Community Mental Health Center) primary261QM0801X—
Clinic/Center, Adult Mental Health261QM0850X—
Clinic/Center, Adolescent and Children Mental Health261QM0855X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.