| Sacred Space Therapy | |
|
26 Berkshire Rd Merrick NY 11566-3710 | |
| (516) 253-1274 | |
| Not Available |
| Full Name | Sacred Space Therapy |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 26 Berkshire Rd, Merrick, New York |
| Authorized Official Name and Position | Marlene Rodgers (OWNER) |
| Authorized Official Contact | 5162531274 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sacred Space Therapy 26 Berkshire Rd Merrick NY 11566-3710 Ph: (516) 253-1274 | Sacred Space Therapy 26 Berkshire Rd Merrick NY 11566-3710 Ph: (516) 253-1274 |
| NPI Number | 1306615794 |
|---|---|
| Provider Enumeration Date | 12/27/2023 |
| Last Update Date | 12/27/2023 |
| Certification Date | 12/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306615794 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (NU) | Primary |
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