1. Home
  2. Directory
  3. Florida
  4. Lake City
  5. Social Worker
  6. NPI Profile

SACRED WINGS COUNSELING, LLC
NPI 1205613445
Social Worker - Clinical in Lake City, FL

Active since September 12, 2023
826 SW MAIN BLVD STE 102, LAKE CITY, FL 32025(386) 984-5366(386) 287-6525 Get Directions Write a Review

NPPES record last updated: September 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sacred Wings Counseling, Llc NPPES

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

SACRED WINGS COUNSELING, LLC (NPI 1205613445) is a healthcare organization registered as a clinical in Lake City, Florida and active in the NPI registry since September 2023. The organization lists Amanda Manske, Mental Health Therapist, as its authorized official.

NPPES Registry Identity

NPI1205613445
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameSACRED WINGS COUNSELING, LLC
Location Address826 SW MAIN BLVD STE 102Lake City, FL 32025-5742
Mailing Address184 Sw Story PlLake City, FL 32024-1101 · (386) 984-5366
Phone(386) 984-5366
Fax(386) 287-6525
Organization SubpartNo
Authorized OfficialAmanda ManskeMental Health Therapist · (386) 984-5366
Enumeration DateSeptember 12, 2023
NPPES CertifiedSeptember 12, 2023
✔ NPI 1205613445 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.
826 SW MAIN BLVD STE 102, Lake City, FL 32025
Open in Google Maps ↗

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.

JOSEPH M HERNANDEZ MD PA
Clinic/Center (Pain)
826 SW MAIN BLVD STE 102
LAKE CITY, FL 32025
Columbia County (386) 754-0600
AMANDA MANSKE LCSW, RPT
Social Worker (Clinical)
826 SW MAIN BLVD STE 102
LAKE CITY, FL 32025
Columbia County (386) 984-5366
DR. JOSEPH HERNANDEZ MD
Emergency Medicine
826 SW MAIN BLVD STE 102
LAKE CITY, FL 32025
Columbia County (386) 754-0600

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 Wings Counseling, LLC's NPI number?

The NPI number for Sacred Wings Counseling, LLC is 1205613445. It was assigned to this organization in the NPPES registry on September 12, 2023.

Where is Sacred Wings Counseling, LLC located?

Sacred Wings Counseling, LLC is located at 826 SW Main Blvd Ste 102, Lake City, FL 32025. The listed phone number is (386) 984-5366.

What is Sacred Wings Counseling, 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 Wings Counseling, LLC was last updated on September 12, 2023. 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.