Organization
SACRED SPACES SUPPORTED LIVING
Active
Parent organization
SACRED SPACES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SACRED SPACES LLC
Authorized official
ALEKSANDRA MICIC LCSW (OWNER)
(801) 815-6905
Entity
Organization
Contact information
Practice address
7296 W SENTINAL RD, WEST VALLEY CITY, UT 84081-6072
(801) 815-6905
Mailing address
7296 W SENTINAL RD, WEST VALLEY CITY, UT 84081-6072
(801) 815-6905
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
02/12/2026
Last updated
02/12/2026
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