| Sacred Space Therapy, Llc | |
|
4325 Laurel St Suite # 285 Anchorage AK 99508-5364 | |
| (907) 929-4325 | |
| Not Available |
| Full Name | Sacred Space Therapy, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4325 Laurel St, Anchorage, Alaska |
| Authorized Official Name and Position | Shana Gibney (OWNER) |
| Authorized Official Contact | 9079294325 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sacred Space Therapy, Llc 4325 Laurel St Suite # 285 Anchorage AK 99508-5364 Ph: (907) 929-4325 | Sacred Space Therapy, Llc 4325 Laurel St Suite # 285 Anchorage AK 99508-5364 Ph: (907) 929-4325 |
| NPI Number | 1538559042 |
|---|---|
| Provider Enumeration Date | 02/04/2015 |
| Last Update Date | 02/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538559042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1349 (Alaska) | Primary |
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