| Sacred Space Psychiatry Center Llc | |
|
17 Hampton St Ste A Mcdonough GA 30253-3159 | |
| (470) 962-2210 | |
| Not Available |
| Full Name | Sacred Space Psychiatry Center Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 17 Hampton St Ste A, Mcdonough, Georgia |
| Authorized Official Name and Position | Rykeyla Bridges (CEO) |
| Authorized Official Contact | 4709622210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sacred Space Psychiatry Center Llc 2224 Jenny Dr Fairburn GA 30213-4532 Ph: (470) 962-2210 | Sacred Space Psychiatry Center Llc 17 Hampton St Ste A Mcdonough GA 30253-3159 Ph: (470) 962-2210 |
| NPI Number | 1962396580 |
|---|---|
| Provider Enumeration Date | 06/06/2025 |
| Last Update Date | 06/06/2025 |
| Certification Date | 06/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962396580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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