Organization
SANCTUARY PSYCHOTHERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA WIBBELS LCSW (OWNER)
(845) 274-4470
Entity
Organization
Contact information
Practice address
5737 S WATTERSON TRL APT 5, LOUISVILLE, KY 40291-1899
(452) 744-4708
(502) 331-6062
Mailing address
5737 S WATTERSON TRL APT 5, LOUISVILLE, KY 40291-1899
(845) 274-4470
(502) 331-6062
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/18/2022
Last updated
05/18/2022
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