Sacred Space Therapy

NPI #1306615794 in Merrick, New York

Provider Information

NPI Number: 1306615794
Entity Type: Organization
Organization Name: Sacred Space Therapy
Primary Specialty: Social Worker - Clinical
Enumeration Date: Dec 27, 2023
Last Updated: Dec 27, 2023

Practice Location

Address: 26 BERKSHIRE RD
City: Merrick
State: New York
ZIP Code: 11566-3710
Phone: (516) 253-1274

Authorized Official

Name: MS. MARLENE RODGERS, LCSW-R, CASAC
Title: OWNER
Phone: (516) 253-1274

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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