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Organization

SANCTUARY WELLNESS AND EDUCATION, LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHAQUITA NIAMKE PSY.S., LSPSY (SCHOOL PSYCHOLOGIST)
(216) 273-6020
Entity
Organization

Contact information

Practice address
3401 ENTERPRISE PKWY STE 340, BEACHWOOD, OH 44122-7340
(216) 273-6020
(216) 998-0246
Mailing address
5110 ABIGAIL DR, LYNDHURST, OH 44124-1077
(216) 273-6020
(216) 998-0246

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0248411
OH
05
0404972
OH
Enumeration date
12/31/2019
Last updated
08/05/2025
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