Inside Space Healing Collective Llc

Clinical Social Worker · Newport News, VA

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At a glance

753 Thimble Shoals Blvd Ste D3, Newport News, VA 23606-3598

NPPES record updated Jul 28, 2025. Public records can lag behind changes at a practice.

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Practice location

753 Thimble Shoals Blvd Ste D3
Newport News, VA 23606-3598

Professional details: NPI, taxonomy & registry record

NPI1124901392

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Registry details

Primary taxonomy: Clinical Social Worker
Taxonomy code: 1041C0700X
Enumeration date: Jul 28, 2025
Record updated: Jul 28, 2025

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Mental Health Counselor

101YM0800X

Clinical Social Worker

1041C0700X · Primary

Specialty details in registry

251S00000X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

753 Thimble Shoals Blvd Ste D3
Newport News, VA 23606-3598

Phone: (757) 449-2569

Mailing address

438 DUNMORE DR

NEWPORT NEWS, VA 236026458

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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