| Sacred Spaces Llc | |
|
7296 W Sentinal Rd West Valley City UT 84081-6072 | |
| (801) 815-6905 | |
| Not Available |
| Full Name | Sacred Spaces Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 7296 W Sentinal Rd, West Valley City, Utah |
| Authorized Official Name and Position | Aleksandra Micic (OWNER) |
| Authorized Official Contact | 8018156905 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sacred Spaces Llc 7296 W Sentinal Rd West Valley City UT 84081-6072 Ph: (801) 815-6905 | Sacred Spaces Llc 7296 W Sentinal Rd West Valley City UT 84081-6072 Ph: (801) 815-6905 |
| NPI Number | 1104699693 |
|---|---|
| Provider Enumeration Date | 11/06/2023 |
| Last Update Date | 11/06/2023 |
| Certification Date | 11/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104699693 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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