Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Black Space LLC

Organization Mental Health Counselor · NPI 1427860022

Black Space LLC is a Mental Health Counselor in Bothell, Washington. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

22722 29th Dr SE Ste 100
Bothell, WA 98021
Phone: (929) 445-7277
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1427860022
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tamera Gittens — Lmhc · (929) 445-7277
NPI enumeratedJanuary 22, 2025
Last updated in NPPESJanuary 22, 2025
Certification dateJanuary 6, 2025
Mailing address300 Lenora St # 1348, Seattle, WA 98121-2411

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