Organization · Type 2 NPI
Sacred Space Therapy LLC
Professional Counselor · Revere, MN
NPI number
1427965300
Active
Practice location
125 Oak St
Revere, MN 56166-4000
Fax (320) 233-4071
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
About NPI 1427965300
Sacred Space Therapy LLC's National Provider Identifier is 1427965300, issued on Aug 26, 2026. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Revere, MN. The record was last updated on Aug 26, 2026.