Sacred Space Psychotherapy Llc

LBN: Sacred Space Psychotherapy Llc
Sacred Space Psychotherapy Llc is an health care organization with primary practice located at 1668 E Pollino St , San Tan Valley AZ 85140-7861. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Sacred Space Psychotherapy Llc can be contacted via phone (480) 734-3391, or through Hoffman, Christine M via phone (480) 734-3391.

Contact Information

Primary practice address
1668 E Pollino St San Tan Valley AZ 85140-7861
Phone: (480) 734-3391
Fax: (602) 641-8483
Website:
Map and Directions
Authorized official contact:
Name: Hoffman, Christine M Licensed Clinical Social Worker (LCSW)
Phone: (480) 734-3391

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1306431754
LBN Legal business name Sacred Space Psychotherapy Llc
DBA Doing business as
Authorized official Hoffman, Christine M Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2021
Last updated May 9th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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