Provider Demographics
NPI:1962044719
Name:THE HOLDING SPACE, LLC
Entity Type:Organization
Organization Name:THE HOLDING SPACE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OWNER OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:
Authorized Official - Last Name:HEMLING
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:414-380-2051
Mailing Address - Street 1:2541 N 65TH ST
Mailing Address - Street 2:
Mailing Address - City:WAUWATOSA
Mailing Address - State:WI
Mailing Address - Zip Code:53213-1408
Mailing Address - Country:US
Mailing Address - Phone:414-380-2051
Mailing Address - Fax:
Practice Address - Street 1:8707 W NORTH AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53226-2723
Practice Address - Country:US
Practice Address - Phone:414-380-2051
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-14
Last Update Date:2019-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty