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Organization
SACRED SPACES A CENTER FOR MINDFUL TRANSFORMATION
Active
Organization
SACRED SPACES A CENTER FOR MINDFUL TRANSFORMATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAUREN AUDENINO LCSW (OWNER)
(929) 249-3438
Entity
Organization
Contact information
Practice address
33 NASSAU AVE STE 64, BROOKLYN, NY 11222-3132
(929) 249-3438
Mailing address
33 NASSAU AVE STE 64, BROOKLYN, NY 11222-3132
(929) 249-3438
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629680475
NPI 1 JENNIFER CIRAULO
—
01
—
1932442555
NPI 1
—
Enumeration date
04/07/2021
Last updated
04/07/2021
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