| Sacred Space Counseling And Wellness Llc | |
|
46 Lebanon Rd Bozrah CT 06334-1116 | |
| (860) 617-4082 | |
| (860) 617-4082 |
| Full Name | Sacred Space Counseling And Wellness Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 46 Lebanon Rd, Bozrah, Connecticut |
| Authorized Official Name and Position | Heather Bonitz-moore (ART THERAPIST, OWNER) |
| Authorized Official Contact | 8606174082 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sacred Space Counseling And Wellness Llc 195 Fowler Rd Lebanon CT 06249-2503 Ph: (860) 617-4082 | Sacred Space Counseling And Wellness Llc 46 Lebanon Rd Bozrah CT 06334-1116 Ph: (860) 617-4082 |
| NPI Number | 1093223976 |
|---|---|
| Provider Enumeration Date | 01/13/2018 |
| Last Update Date | 01/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093223976 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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