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1679253199
SACRED SPACE PSYCHOTHERAPY, LLC
COVINGTON, LA
NPI
1679253199
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Entity Type
Organization
Authorized Contact
JAMES HERNANDEZ
Psychologist/Owner
504-231-9274
Organization Subpart ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
Enumeration Date
2023-07-19
Last Update Date
2023-07-19
Business Address
SACRED SPACE PSYCHOTHERAPY, LLC
206 S TYLER ST STE B
COVINGTON, LA 70433-3073
Phone number: 504-231-9274
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Mailing Address
SACRED SPACE PSYCHOTHERAPY, LLC
206 S TYLER ST STE B
COVINGTON, LA 70433-3073
Phone number: 504-231-9274
Copy
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