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SACRED SPACE PSYCHOTHERAPY LLC NPI 1679253199


NPI Information

NPI: 1679253199
Provider Name: SACRED SPACE PSYCHOTHERAPY, LLC
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
206 S TYLER ST STE B
COVINGTON, LA
ZIP 70433
Phone: (504) 231-9274
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SACRED SPACE PSYCHOTHERAPY, LLC is a clinical psychologist in Covington, LA. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. SACRED SPACE PSYCHOTHERAPY, LLC NPI is 1679253199. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

206 S TYLER ST STE B
COVINGTON, LA
ZIP 70433-073
Phone: (504) 231-9274

The provider's authorized official is James Hernandez .
The authorized official title is Psychologist/owner and has the following contact phone number (504) 231-9274.

The enumeration date for this NPI number is 7/19/2023 and was last updated on 7/19/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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