Healthcare Provider Details

I. General information

NPI: 1497682801
Provider Name (Legal Business Name): EMOTION SPACE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1177 PEARL ST STE 2B
EUGENE OR
97401-3655
US

IV. Provider business mailing address

70 RASOR AVE
EUGENE OR
97404-3206
US

V. Phone/Fax

Practice location:
  • Phone: 541-480-9577
  • Fax: 541-722-1242
Mailing address:
  • Phone: 541-480-9577
  • Fax: 541-722-1242

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: JESSICA HOLE
Title or Position: OWNER
Credential:
Phone: 541-480-9577