| Sacred Space, Llc | |
|
19310 Sherwood Green Way Gaithersburg MD 20879 | |
| (202) 567-7726 | |
| Not Available |
| Full Name | Sacred Space, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 19310 Sherwood Green Way, Gaithersburg, Maryland |
| Authorized Official Name and Position | Arielle Mesa (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2022651000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sacred Space, Llc 325 Ellington Blvd # 171 Gaithersburg MD 20878-4591 Ph: (202) 567-7726 | Sacred Space, Llc 19310 Sherwood Green Way Gaithersburg MD 20879 Ph: (202) 567-7726 |
| NPI Number | 1679160063 |
|---|---|
| Provider Enumeration Date | 12/31/2020 |
| Last Update Date | 12/31/2020 |
| Certification Date | 12/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679160063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Family Care Associates Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 702 Russell Ave Ste 100, Gaithersburg, MD 20877 Phone: 301-330-0006 Fax: 301-330-0444 | |
Embraced Strength Therapy Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 267 Kentlands Blvd # 5206, Gaithersburg, MD 20878 Phone: 240-855-5428 Fax: 301-990-1141 | |
Chinese Culture And Community Service Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9318 Gaither Rd Ste 205, Gaithersburg, MD 20877 Phone: 240-393-5950 | |
Multi Healthcare & Consulting Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 20217 Gentle Way, Gaithersburg, MD 20886 Phone: 240-723-1803 | |
Golden Ear Consulting Counseling And Training Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 23 Firstfield Rd, Gaithersburg, MD 20878 Phone: 571-510-0223 | |
Chinese Culture And Community Service Center, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 9318 Gaither Rd Ste 205, Gaithersburg, MD 20877 Phone: 240-393-5950 | |
Rochelle Wynne Austrian Ph.d.pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 981 Russell Ave, Gaithersburg, MD 20879 Phone: 301-840-1723 |