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SACRED SPACE COUNSELING AND WELLNESS LLC
NPI 1093223976
Counselor - Professional in Bozrah, CT

Active since January 13, 2018
46 LEBANON RD, BOZRAH, CT 06334(860) 617-4082(860) 617-4082 Get Directions Write a Review

NPPES record last updated: January 13, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sacred Space Counseling And Wellness Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SACRED SPACE COUNSELING AND WELLNESS LLC (NPI 1093223976) is a healthcare organization registered as a professional in Bozrah, Connecticut and active in the NPI registry since January 2018. The organization lists Heather Bonitz-moore, Art Therapist, Owner, as its authorized official.

NPPES Registry Identity

NPI1093223976
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameSACRED SPACE COUNSELING AND WELLNESS LLC
Location Address46 LEBANON RDBozrah, CT 06334-1116
Mailing Address195 Fowler RdLebanon, CT 06249-2503 · (860) 617-4082
Phone(860) 617-4082
Fax(860) 617-4082
Organization SubpartNo
Authorized OfficialHeather Bonitz-mooreArt Therapist, Owner · (860) 617-4082
Enumeration DateJanuary 13, 2018
✔ NPI 1093223976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
46 LEBANON RD, Bozrah, CT 06334
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIMBERLY L ABRAM LCSW
Social Worker
46 LEBANON RD
BOZRAH, CT 06334
Southeastern Connecticut Planning Region (860) 788-5462
HEATHER JO BONITZ-MOORE ATR-BC, LPC, IMH-E
Counselor (Professional)
46 LEBANON RD
BOZRAH, CT 06334
Southeastern Connecticut Planning Region (860) 617-4082

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sacred Space Counseling And Wellness LLC's NPI number?

The NPI number for Sacred Space Counseling And Wellness LLC is 1093223976. It was assigned to this organization in the NPPES registry on January 13, 2018.

Where is Sacred Space Counseling And Wellness LLC located?

Sacred Space Counseling And Wellness LLC is located at 46 Lebanon Rd, Bozrah, CT 06334. The listed phone number is (860) 617-4082.

What is Sacred Space Counseling And Wellness LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Sacred Space Counseling And Wellness LLC was last updated on January 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.