Sacred Space Counseling, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

SACRED SPACE COUNSELING, LLC

Practice address

1509 Johnson Ferry Rd Ste T4-a
Marietta, GA 30062-8105

Phone

(706) 248-0809

NPI assigned

May 20, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lorien MagnusNPI 1891227542

Title

Ceo

Phone

(706) 248-0809

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lorien Magnus

  • Professional Counselor
  • Suwanee, GA
  • NPI 1891227542
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621468800000",
    "number": "1841865011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 LAKERIDGE DR SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300675464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 JOHNSON FERRY RD STE T4-A",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300628105",
            "telephone_number": "706-248-0809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED SPACE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A",
        "authorized_official_last_name": "MAGNUS",
        "authorized_official_first_name": "LORIEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-248-0809"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891227542",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Akilah Sabir
• Najat Sabir, MA
• Nathan Sablowski, MD
• Jennifer Saboura, NP
• Stefancharles G. Saboura, D.C.
• Kishor Bhurabhai Sadaria, M.D.
• Alyan Saeed, PHARMD
• Nimra Saeed
• David Kenneth Saef, RPH
• Seyedehdarya Safavinia

• Professional Counselor in Marietta, GA
• Providers in Marietta, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.