THE SACRED SELF, LLC
NPI 1104227685
Counselor - Professional in Newington, CT

Active since September 15, 2014
171 MARKET SQ, SUITE 102, NEWINGTON, CT 06111(860) 614-8382(860) 561-5394 Get Directions Write a Review

NPPES record last updated: September 15, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About The Sacred Self, Llc NPPES

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

THE SACRED SELF, LLC (NPI 1104227685) is a healthcare organization registered as a professional in Newington, Connecticut and active in the NPI registry since September 2014. The organization lists Charleen K Miele, Owner, as its authorized official.

NPPES Registry Identity

NPI1104227685
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameTHE SACRED SELF, LLC
Location Address171 MARKET SQ, SUITE 102Newington, CT 06111-2927
Mailing Address171 Market Sq, Suite 102Newington, CT 06111-2927 · (860) 614-8382 · Fax (860) 561-5394
Fax(860) 561-5394
Organization SubpartNo
Authorized OfficialCharleen K MieleOwner · (860) 614-8382
Enumeration DateSeptember 15, 2014
NPI 1104227685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in CT · 002593
171 MARKET SQ, Newington, CT 06111

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

Community/Behavioral Health
171 MARKET SQ, SUITE 202
NEWINGTON, CT 06111
Counselor (Professional)
171 MARKET SQ, SUITE 102
NEWINGTON, CT 06111
Durable Medical Equipment & Medical Supplies
171 MARKET SQ, SUITE 210
NEWINGTON, CT 06111

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 The Sacred Self, LLC's NPI number?

The NPI number for The Sacred Self, LLC is 1104227685. It was assigned to this organization in the NPPES registry on September 15, 2014.

Where is The Sacred Self, LLC located?

The Sacred Self, LLC is located at 171 Market Sq Suite 102, Newington, CT 06111. The listed phone number is (860) 614-8382.

What is The Sacred Self, 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 The Sacred Self, LLC was last updated on September 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.