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SACREDSPACE PSYCHOTHERAPY, LLC
NPI 1235020330
Counselor - Professional in Loganville, GA

Active since July 15, 2025
4091 DEAN GROVE WAY, LOGANVILLE, GA 30052(770) 651-0582 Get Directions Write a Review

NPPES record last updated: July 20, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sacredspace Psychotherapy, Llc NPPES

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

SACREDSPACE PSYCHOTHERAPY, LLC (NPI 1235020330) is a healthcare organization registered as a professional in Loganville, Georgia and active in the NPI registry since July 2025. The organization lists Melanie Bentick, Founder /ceo, as its authorized official.

NPPES Registry Identity

NPI1235020330
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameSACREDSPACE PSYCHOTHERAPY, LLC
Location Address4091 DEAN GROVE WAYLoganville, GA 30052-5880
Mailing Address4091 Dean Grove WayLoganville, GA 30052-5880 · (770) 651-0582
Phone(770) 651-0582
Organization SubpartNo
Authorized OfficialMelanie BentickFounder /ceo · (770) 651-0282
Enumeration DateJuly 15, 2025
Last NPPES UpdateJuly 20, 2025
NPPES CertifiedJuly 20, 2025
✔ NPI 1235020330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
4091 DEAN GROVE WAY, Loganville, GA 30052
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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

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

MELANIE BENTICK LPC
Counselor (Professional)
4091 DEAN GROVE WAY
LOGANVILLE, GA 30052
Gwinnett County (770) 906-8951

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 Sacredspace Psychotherapy, LLC's NPI number?

The NPI number for Sacredspace Psychotherapy, LLC is 1235020330. It was assigned to this organization in the NPPES registry on July 15, 2025.

Where is Sacredspace Psychotherapy, LLC located?

Sacredspace Psychotherapy, LLC is located at 4091 Dean Grove Way, Loganville, GA 30052. The listed phone number is (770) 651-0582.

What is Sacredspace Psychotherapy, 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 Sacredspace Psychotherapy, LLC was last updated on July 20, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.