Sacred Space Psychiatry Center LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in McDonough, GA. Organization (NPI-2).
NPI number1962396580
StatusActive
Last updated in NPPESJun 6, 2025
Details
- NPI
- 1962396580
- Entity type
- Organization (NPI-2)
- Legal business name
- Sacred Space Psychiatry Center LLC
- Organization subpart
- No
- Enumeration date
- Jun 6, 2025
- Certification date
- Jun 6, 2025
- Last updated
- Jun 6, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
17 Hampton St Ste AMcDonough, GA 30253-3159
Phone 470-962-2210
Mailing address
2224 Jenny DrFairburn, GA 30213-4532
Phone 470-962-2210
Authorized official
Rykeyla Bridges
Ceo
4709622210
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All 9 Mental Health Clinic/Center (Including Community Mental Health Center) providers in McDonough · All 1,905 providers in McDonough
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