Sacred Healing Therapeutic Services LLC

NPI #1952806556 in Portage, Michigan

Provider Information

NPI Number: 1952806556
Entity Type: Organization
Organization Name: Sacred Healing Therapeutic Services LLC
Primary Specialty: Social Worker
Enumeration Date: Mar 26, 2018
Last Updated: Feb 3, 2022

Practice Location

Address: 6144 DEVON ST
City: Portage
State: Michigan
ZIP Code: 49024-2648
Phone: (734) 709-2096

Authorized Official

Name: MARY BETH HOUPT
Title: CREDENTIALING
Phone: (517) 676-9788

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X
Social Worker	104100000X	Primary

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