Sacred Space Psychiatry Center LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SACRED SPACE PSYCHIATRY CENTER LLC

Practice address

17 Hampton St Ste a
McDonough, GA 30253-3159

Phone

(470) 962-2210

NPI assigned

Jun 6, 2025

Organization subpart

No

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

Authorized official

Name

Rykeyla Bridges, PMHNPNPI 1326602053

Title

Ceo

Phone

(470) 962-2210

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rykeyla Bridges, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fairburn, GA
  • NPI 1326602053
  NPD Authorized official

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

{
    "created_epoch": "1749168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749168000000",
    "number": "1962396580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2224 JENNY DR",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302134532",
            "telephone_number": "470-962-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 HAMPTON ST STE A",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533159",
            "telephone_number": "470-962-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED SPACE PSYCHIATRY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-06",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A",
        "authorized_official_last_name": "BRIDGES",
        "authorized_official_first_name": "RYKEYLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "470-962-2210",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriel Russell, OD
• Christa Russie, PHARM D
• Stephanie Ann Rytel-Smith, D.C
• Alicia C Saavedra Fant
• Sacred Journey Hospice, LLC
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• Safe Haven Residential Living, LLC
• Safe Source Durable Medical Equipment LLC
• Catherine Saffels, LPC

• All providers in McDonough, GA
• Mental Health Clinic/Center (Including Community Mental Health Center) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; 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.