MEDICARE: HEALING SPACE THERAPY 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	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1962399311
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALING SPACE THERAPY LLC

Provider Business Mailing Address
First Line	:	2008 COLLARD CT
Second Line	:
City	:	TEMPLE
State	:	TX
Zip	:	76502-7468
Country	:	US
Telephone Number	:	307-206-5244
Fax Number	:

Provider Business Practice Location Address
First Line	:	2008 COLLARD CT
Second Line	:
City	:	TEMPLE
State	:	TX
Zip	:	76502-7468
Country	:	US
Telephone Number	:	307-274-2693
Fax Number	:

Authorized Official
Title or Position	:	OWNER/COUNSELOR
Name	:	MRS. CRYSTAL DANIELLE INGRAM
Credential	:	LPC
Telephone Number	:	307-206-5244

Provider Enumeration Date	:	06/19/2025
Last Update Date	:	04/06/2026

Similar Medicare Providers

1518662683 — CRYSTAL DANIELLE INGRAM MRC
Practice Location Address:

2008 COLLARD CT
TEMPLE, TX
76502-7468

Practice Phone: 307-206-5244
Practice Fax:

1043403173 — MR. BENJAMIN DALE KARREN DMD
Practice Location Address:

2113 SW H K DODGEN LOOP
TEMPLE, TX
76502-1849

Practice Phone: 254-433-7100
Practice Fax: 800-391-7468

1447193024 — MELODY CALLAWAY LPC
Practice Location Address:

8612 TRAILRIDGE DR
TEMPLE, TX
76502-5204

Practice Phone: 254-563-4560
Practice Fax:

1558204974 — ALEX SALINAS
Practice Location Address:

175 WESTFIELD BLVD STE 120
TEMPLE, TX
76502-4524

Practice Phone: 254-677-7235
Practice Fax: 254-677-7235

1487658134 — DR. GARY BRIAN SOUTHERLAND DDS
Practice Location Address:

1910 BIRDCREEK DR
TEMPLE, TX
76502-1001

Practice Phone: 254-773-6373
Practice Fax: 254-773-6582

1255338992 — DR. CHRISTOPHER GLENN BROWNING DPM
Practice Location Address:

2601 THORNTON LN
TEMPLE, TX
76502-1808

Practice Phone: 254-724-6622
Practice Fax: 254-742-6620

Directions to “HEALING SPACE THERAPY 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.