Amy Space, M.S., L.P.C

NPI 1588917496 · on the registry since 2012

Practice

Address: 314 E Highland Mall Blvd Ste 260.14
Austin, TX 78752
Phone: (512) 426-2145
Organisation at this address: Bkcp,Llc
Karla Frazier
Jaime Nelson Pmhnp
Care At Home, L.L.C
Nicolas Carrasco, Phd., Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 39

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2012-10-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas