| Sacred Space Counseling, Llc | |
|
1509 Johnson Ferry Rd Ste T4-a Marietta GA 30062-8105 | |
| (706) 248-0809 | |
| Not Available |
| Full Name | Sacred Space Counseling, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1509 Johnson Ferry Rd Ste T4-a, Marietta, Georgia |
| Authorized Official Name and Position | Lorien Magnus (CEO) |
| Authorized Official Contact | 7062480809 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sacred Space Counseling, Llc 3120 Lakeridge Dr Se Marietta GA 30067-5464 Ph: () - | Sacred Space Counseling, Llc 1509 Johnson Ferry Rd Ste T4-a Marietta GA 30062-8105 Ph: (706) 248-0809 |
| NPI Number | 1841865011 |
|---|---|
| Provider Enumeration Date | 05/20/2021 |
| Last Update Date | 05/20/2021 |
| Certification Date | 05/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841865011 | NPI | - | NPPES |
| 1891227542 | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Mt. Bethel Shepherd Center Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4608 Lower Roswell Rd, Marietta, GA 30068 Phone: 678-571-5119 | |
Warnecke Professional Counseling, Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2050 Roswell Rd, Marietta, GA 30062 Phone: 678-252-6115 Fax: 678-399-1678 | |
Powell Psychological Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2501 E Piedmont Rd, Suite 200, Pmb 5, Marietta, GA 30062 Phone: 404-403-6177 Fax: 404-393-6460 | |
Prime Behavior Analysts, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 376 Powder Springs St, Suite 130, Marietta, GA 30064 Phone: 404-695-3596 Fax: 404-935-5335 | |
Divine Psychology, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4343 Shallowford Rd Ste G3, Marietta, GA 30062 Phone: 678-626-7207 | |
Tolleson Counseling & Consulting, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1640 Powers Ferry Rd Se Bldg 9-350, Marietta, GA 30067 Phone: 470-684-0428 | |
Neurotherapy Associates, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 540 Powder Springs St Ste E31, Marietta, GA 30064 Phone: 470-217-7324 |