Sacred Spaces, Inc

LBN: Sacred Spaces, Inc
Sacred Spaces, Inc is an health care organization with primary practice located at 380 W Palatine Rd Suite 6, Wheeling IL 60090-5831. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Sacred Spaces, Inc can be contacted via phone (847) 947-7646, or through Caruso, Maria A via phone (847) 947-7646.

Contact Information

Primary practice address
380 W Palatine Rd Suite 6 Wheeling IL 60090-5831
Phone: (847) 947-7646
Fax: (847) 947-7645
Website:
Map and Directions
Authorized official contact:
Name: Caruso, Maria A MSW, LCSW
Phone: (847) 947-7646

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X Illinois

Profile Details

NPI number 1720040595
LBN Legal business name Sacred Spaces, Inc
DBA Doing business as
Authorized official Caruso, Maria A MSW, LCSW
Entity Organization
Organization subpart 1 No
Enumeration date Apr 5th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1720040595 NPPES
Illinois Other 4932184 BCBSIL PIN

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