SACRED SPACE COUNSELING AND WELLNESS LLC – Professional Counselor, NPI 1093223976

SACRED SPACE COUNSELING AND WELLNESS LLC is a healthcare provider. based in Lebanon, Connecticut. specializing in Professional Counselor. The NPI Number for SACRED SPACE COUNSELING AND WELLNESS LLC is 1093223976

Main info

Organization
Name
SACRED SPACE COUNSELING AND WELLNESS LLC
NPI
1093223976
Phone
(860) 617-4082
Address
195 FOWLER RD
Authorized Official
HEATHER BONITZ-MOORE ART THERAPIST, OWNER ATR-BC, LPC, IMH-E
Enumeration Date
13 January 2018
Last Update Date
13 January 2018
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness75
Years active:8State licenses:0Digital endpointsOther names

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Provider Addresses for SACRED SPACE COUNSELING AND WELLNESS LLC

  • 195, Fowler Road, Lebanon, New London County, Connecticut, 06249, United States

    LEBANON, CT 062492503

    Phone: (860) 617-4082

    Type: Mailing

  • 46, Lebanon Road, Bozrah, New London County, Connecticut, 06334, United States

    BOZRAH, CT 063341116

    Phone: (860) 617-4082

    Fax: (860) 617-4082

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06249)

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Reviews

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Frequently asked questions

How do I look up SACRED SPACE COUNSELING AND WELLNESS LLC by NPI?
Use NPI 1093223976 when you need to reference SACRED SPACE COUNSELING AND WELLNESS LLC in forms, claims, or directories.
Is SACRED SPACE COUNSELING AND WELLNESS LLC's NPI currently valid?
The extract we use shows SACRED SPACE COUNSELING AND WELLNESS LLC as active.
What field does SACRED SPACE COUNSELING AND WELLNESS LLC work in?
You can think of SACRED SPACE COUNSELING AND WELLNESS LLC as practicing within Professional Counselor. Clinical services aligned with this taxonomy classification.
What location shows for SACRED SPACE COUNSELING AND WELLNESS LLC?
We surface Lebanon, Connecticut for SACRED SPACE COUNSELING AND WELLNESS LLC based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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