Provider Demographics
NPI:1619758141
Name:H.E.L.P SPACE, LLC
Entity Type:Organization
Organization Name:H.E.L.P SPACE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHAMARIA
Authorized Official - Middle Name:ALEXANDREA
Authorized Official - Last Name:FAHIE
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW, LCSW-C, LCSW
Authorized Official - Phone:202-374-8188
Mailing Address - Street 1:7027 ONYX CT
Mailing Address - Street 2:
Mailing Address - City:CAPITOL HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20743-1882
Mailing Address - Country:US
Mailing Address - Phone:202-374-8188
Mailing Address - Fax:
Practice Address - Street 1:7027 ONYX CT
Practice Address - Street 2:
Practice Address - City:CAPITOL HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20743-1882
Practice Address - Country:US
Practice Address - Phone:202-374-8188
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-10
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty