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Organization
SACRED SPACE THERAPY LLC
Active
Organization
SACRED SPACE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TANYA ANNE LAMBERT LPCC (OWNER, PSYCHOTHERAPIST)
(763) 213-3933
Entity
Organization
Contact information
Practice address
125 OAK ST, REVERE, MN 56166-4000
(763) 213-3933
(320) 233-4071
Mailing address
125 OAK ST, REVERE, MN 56166-4000
(763) 213-3933
(320) 233-4071
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/26/2026
Last updated
08/26/2026
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