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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SACRED SPACE THERAPY LLC
NPI 1427965300
Counselor - Professional in Revere, MN

Active since August 26, 2026
125 OAK ST, REVERE, MN 56166(763) 213-3933(320) 233-4071 Get Directions Write a Review

NPPES record added: August 26, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Sacred Space Therapy Llc NPPES

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

SACRED SPACE THERAPY LLC (NPI 1427965300) is a healthcare organization registered as a professional in Revere, Minnesota and active in the NPI registry since August 2026. The organization lists Tanya Anne Lambert, Owner, Psychotherapist, as its authorized official.

NPPES Registry Identity

NPI1427965300
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameSACRED SPACE THERAPY LLC
Location Address125 OAK STRevere, MN 56166-4000
Mailing Address125 Oak StRevere, MN 56166-4000 · (763) 213-3933 · Fax (320) 233-4071
Phone(763) 213-3933
Fax(320) 233-4071
Organization SubpartNo
Authorized OfficialTanya Anne LambertOwner, Psychotherapist · (763) 213-3933
Enumeration DateAugust 26, 2026
NPPES CertifiedAugust 26, 2026
✔ NPI 1427965300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
125 OAK ST, Revere, MN 56166
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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

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 1427965300. It was assigned to this organization in the NPPES registry on August 26, 2026.

Where is Sacred Space Therapy LLC located?

Sacred Space Therapy LLC is located at 125 Oak St, Revere, MN 56166. The listed phone number is (763) 213-3933.

What is Sacred Space Therapy 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 Therapy LLC was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.