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Organization
SACREDSPACE PSYCHOTHERAPY, LLC
Active
Organization
SACREDSPACE PSYCHOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE BENTICK LPC (FOUNDER /CEO)
(770) 651-0282
Entity
Organization
Contact information
Practice address
4091 DEAN GROVE WAY, LOGANVILLE, GA 30052-5880
(770) 651-0582
Mailing address
4091 DEAN GROVE WAY, LOGANVILLE, GA 30052-5880
(770) 651-0582
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/15/2025
Last updated
07/20/2025
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