SACRED SPACE THERAPY LLC
NPI 1174205777
Social Worker - Clinical in Albuquerque, NM

Active since August 02, 2023
2445 IRIS RD NW, ALBUQUERQUE, NM 87104(505) 259-1737(505) 448-7925 Get Directions Write a Review

NPPES record last updated: April 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 20, 2024, Oct 20, 2023 (2 updates tracked since 2023).

About Sacred Space Therapy Llc NPPES

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

SACRED SPACE THERAPY LLC (NPI 1174205777) is a healthcare organization registered as a clinical in Albuquerque, New Mexico and active in the NPI registry since August 2023. The organization lists Gloria J Blea Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1174205777
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameSACRED SPACE THERAPY LLC
Location Address2445 IRIS RD NWAlbuquerque, NM 87104-3008
Mailing AddressPo Box 70112Albuquerque, NM 87197-0112 · (505) 259-1737 · Fax (505) 448-7925
Fax(505) 448-7925
Organization SubpartNo
Authorized OfficialGloria J Blea JohnsonOwner · (505) 259-1737
Enumeration DateAugust 2, 2023
Last NPPES UpdateApril 20, 20242 updates tracked since enumeration
NPPES CertifiedApril 20, 2024
NPI 1174205777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
2445 IRIS RD NW, Albuquerque, NM 87104

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

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 Therapy LLC's NPI number?

The NPI number for Sacred Space Therapy LLC is 1174205777. It was assigned to this organization in the NPPES registry on August 2, 2023.

Where is Sacred Space Therapy LLC located?

Sacred Space Therapy LLC is located at 2445 Iris Rd NW, Albuquerque, NM 87104. The listed phone number is (505) 259-1737.

What is Sacred Space Therapy LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Sacred Space Therapy LLC was last updated on April 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.