Provider Demographics
NPI:1174263172
Name:HOLDING SPACE COLLABORATIVE PLLC
Entity Type:Organization
Organization Name:HOLDING SPACE COLLABORATIVE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:
Authorized Official - Last Name:BRICENO
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:828-775-7439
Mailing Address - Street 1:70 WOODFIN PL STE 409
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-2441
Mailing Address - Country:US
Mailing Address - Phone:828-775-7439
Mailing Address - Fax:
Practice Address - Street 1:70 WOODFIN PL STE 409
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2441
Practice Address - Country:US
Practice Address - Phone:828-775-7439
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-30
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty