MEDICARE: HOLDING SPACE COUNSELING, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1659013290
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOLDING SPACE COUNSELING, LLC

Provider Business Mailing Address
First Line	:	2400 CRESTWOOD RD STE 201
Second Line	:
City	:	NORTH LITTLE ROCK
State	:	AR
Zip	:	72116-7663
Country	:	US
Telephone Number	:	501-409-6653
Fax Number	:

Provider Business Practice Location Address
First Line	:	2400 CRESTWOOD RD STE 201
Second Line	:
City	:	NORTH LITTLE ROCK
State	:	AR
Zip	:	72116-7663
Country	:	US
Telephone Number	:	501-409-6653
Fax Number	:

Authorized Official
Title or Position	:	THERAPIST/OWNER
Name	:	MACKENZI TRICHEL DAVIS
Credential	:	LCSW, PMH-C
Telephone Number	:	501-539-0695

Provider Enumeration Date	:	04/13/2022
Last Update Date	:	04/30/2022

Similar Medicare Providers

1457207193 — SILVIA L FERNANDEZ PLLC
Practice Location Address:

2400 CRESTWOOD RD STE 201
NORTH LITTLE ROCK, AR
72116-7663

Practice Phone: 501-382-1816
Practice Fax:

1659603397 — MACKENZI T. DAVIS LCSW
Practice Location Address:

2400 CRESTWOOD RD STE 201
NORTH LITTLE ROCK, AR
72116-7663

Practice Phone: 501-409-6653
Practice Fax:

1437383403 — CENTER FOR BEHAVIORAL HEALTH SOUTH CAROLINA LLC
Practice Location Address:

2301 COSGROVE AVE STE F
NORTH CHARLESTON, SC
29405-7663

Practice Phone: 843-529-0700
Practice Fax:

1891248050 — TEESDALE VILLA, INC.
Practice Location Address:

7663 TEESDALE AVENUE
NORTH HOLLYWOOD, CA
91605

Practice Phone: 818-212-8231
Practice Fax:

1376185553 — MRS. DENISE M WISE LPT
Practice Location Address:

607 NORTH AVENUE G
CLIFTON, TX
76634-7663

Practice Phone: 254-675-2554
Practice Fax: 254-675-4063

1437797941 — CENTER FOR BEHAVIORAL HEALTH SOUTH CAROLINA LLC
Practice Location Address:

2301 COSGROVE AVE STE F
NORTH CHARLESTON, SC
29405-7663

Practice Phone: 843-529-0700
Practice Fax:

Directions to “HOLDING SPACE COUNSELING, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.