Healthcare Provider Details

I. General information

NPI: 1295655892
Provider Name (Legal Business Name): SOPHRON SPACE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1418 BOKER RD
CONWAY SC
29527-2905
US

IV. Provider business mailing address

1418 BOKER RD
CONWAY SC
29527-2905
US

V. Phone/Fax

Practice location:
  • Phone: 347-520-8605
  • Fax:
Mailing address:
  • Phone: 347-520-8605
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MS. LATRICIA ANDRENE HARVEY
Title or Position: OWNER
Credential: LCSW
Phone: 347-520-8605