SACRED SPACE MARRIAGE THERAPY, PROF. CORP
NPI 1831059468
Marriage & Family Therapist in Canyon Lake, CA

Active since November 15, 2025
31526 RAILROAD CANYON RD STE 5, CANYON LAKE, CA 92587(951) 219-3255 Get Directions Write a Review

NPPES record last updated: November 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sacred Space Marriage Therapy, Prof. Corp NPPES

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

SACRED SPACE MARRIAGE THERAPY, PROF. CORP (NPI 1831059468) is a healthcare organization registered as a marriage & family therapist in Canyon Lake, California and active in the NPI registry since November 2025. The organization lists Shannon Rodriguez, Therapist, as its authorized official.

NPPES Registry Identity

NPI1831059468
Entity TypeOrganization
Primary Taxonomy106H00000X
Legal Business NameSACRED SPACE MARRIAGE THERAPY, PROF. CORP
Location Address31526 RAILROAD CANYON RD STE 5Canyon Lake, CA 92587-9443
Mailing Address31724 Casino DrLake Elsinore, CA 92530-4510 · (951) 219-3255
Organization SubpartNo
Authorized OfficialShannon RodriguezTherapist · (951) 219-3255
Enumeration DateNovember 15, 2025
NPPES CertifiedNovember 15, 2025
NPI 1831059468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
31526 RAILROAD CANYON RD STE 5, Canyon Lake, CA 92587

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Marriage & Family Therapist
31526 RAILROAD CANYON RD STE 5
CANYON LAKE, CA 92587
Marriage & Family Therapist
31526 RAILROAD CANYON RD STE 5
CANYON LAKE, CA 92587

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 Marriage Therapy, Prof. Corp's NPI number?

The NPI number for Sacred Space Marriage Therapy, Prof. Corp is 1831059468. It was assigned to this organization in the NPPES registry on November 15, 2025.

Where is Sacred Space Marriage Therapy, Prof. Corp located?

Sacred Space Marriage Therapy, Prof. Corp is located at 31526 Railroad Canyon Rd Ste 5, Canyon Lake, CA 92587. The listed phone number is (951) 219-3255.

What is Sacred Space Marriage Therapy, Prof. Corp's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Sacred Space Marriage Therapy, Prof. Corp was last updated on November 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.