| Sacred Ground, Llc | |
|
1291 Reading Ave Boyertown PA 19512-8186 | |
| (484) 529-3856 | |
| Not Available |
| Full Name | Sacred Ground, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1291 Reading Ave, Boyertown, Pennsylvania |
| Authorized Official Name and Position | Anne Marie Cormier (PSYCHOTHERAPIST/COUNSELOR) |
| Authorized Official Contact | 4845293856 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sacred Ground, Llc 61 Township Line Rd Douglassville PA 19518-1698 Ph: (484) 529-3856 | Sacred Ground, Llc 1291 Reading Ave Boyertown PA 19512-8186 Ph: (484) 529-3856 |
| NPI Number | 1861762833 |
|---|---|
| Provider Enumeration Date | 01/09/2012 |
| Last Update Date | 05/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861762833 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | SW007093L (Pennsylvania) | Primary |
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