Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sacred Space an Integrative Wellness Community

Organization Clinical Social Worker · NPI 1922606896

Sacred Space an Integrative Wellness Community is a Clinical Social Worker in West Babylon, New York. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

445 Little East Neck Rd
West Babylon, NY 11704-6543
Phone: (516) 265-2983
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1922606896
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Hairston-Davis — Lcsw-R · (516) 265-2983
NPI enumeratedOctober 13, 2020
Last updated in NPPESOctober 13, 2020
Certification dateOctober 13, 2020
Mailing address405 Marine Ln, West Babylon, NY 11704-8208

Other providers in West Babylon