Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
SACRED SPACE COUNSELING AND WELLNESS LLC
Active
Organization
SACRED SPACE COUNSELING AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER BONITZ-MOORE ATR-BC, LPC, IMH-E (ART THERAPIST, OWNER)
(860) 617-4082
Entity
Organization
Contact information
Practice address
46 LEBANON RD, BOZRAH, CT 06334-1116
(860) 617-4082
(860) 617-4082
Mailing address
195 FOWLER RD, LEBANON, CT 06249-2503
(860) 617-4082
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/13/2018
Last updated
01/13/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up