Provider Demographics
NPI:1346758216
Name:THE HOLDING SPACE
Entity Type:Organization
Organization Name:THE HOLDING SPACE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHERRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GALLOWAY-HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:MED LPC
Authorized Official - Phone:704-488-9282
Mailing Address - Street 1:PO BOX 39058
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28278-1018
Mailing Address - Country:US
Mailing Address - Phone:704-488-9282
Mailing Address - Fax:704-973-0332
Practice Address - Street 1:121 GREENWICH RD STE 215
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28211-2365
Practice Address - Country:US
Practice Address - Phone:704-488-9282
Practice Address - Fax:704-973-0332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-12
Last Update Date:2018-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health