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

Self Space LLC

Organization Mental Health Counselor · NPI 1568325462

Self Space LLC is a Mental Health Counselor in Phoenix, Arizona. 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

34975 N North Valley Pkwy Ste 152
Phoenix, AZ 85086-4032
Phone: (623) 696-8555
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1568325462
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Geiser — Owner/Therapist · (623) 696-8555
NPI enumeratedDecember 8, 2025
Last updated in NPPESDecember 8, 2025
Certification dateDecember 7, 2025
Mailing address3330 W Irvine Rd, Phoenix, AZ 85086-4350

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