# SACRED SPACE COUNSELING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578120382
- **Authorized official:** BRIANNA MORZOV LCSW (OWNER/OPERATOR)
- **Authorized official phone:** (541) 419-6226

## Contact information

- **Practice address:** 750 BUCKAROO TRL, SISTERS, OR 97759-9427
- **Practice address phone:** (541) 419-6226
- **Mailing address:** PO BOX 285, SISTERS, OR 97759-0285
- **Mailing address phone:** (541) 419-6226

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 05/28/2019
- **Last updated:** 01/29/2021