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

Nichelle Space

Individual provider Mental Health Counselor · NPI 1013441211

Nichelle Space is a Mental Health Counselor in Los Angeles, California. Practices as a sole proprietor. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
3

Practice location Address checks out

8019 Compton Ave
Los Angeles, CA 90001-3409
Phone: (323) 586-7333
Show map & directions

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

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X
Mental Health Counselor Taxonomy 101YM0800X
Mental Health Occupational Therapist Taxonomy 225XM0800X

Record details

NPI number1013441211
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 13, 2017
Last updated in NPPESFebruary 10, 2020
Certification dateFebruary 10, 2020

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