Organization
SACRED SPACE PSYCHOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMADA L JIMENEZ PSYD (PSYCHOLOGIST)
(808) 764-4043
Entity
Organization
Contact information
Practice address
541 WILLAMETTE ST STE 209, EUGENE, OR 97401-2694
(541) 631-0848
(541) 224-5444
Mailing address
541 WILLAMETTE ST STE 209, EUGENE, OR 97401-2694
(541) 631-0848
(541) 224-5444
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/01/2026
Last updated
04/01/2026
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