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

Sacred Space Marriage Therapy, Prof Corp

Organization Marriage & Family Therapist · NPI 1831059468

Sacred Space Marriage Therapy, Prof Corp is a Marriage & Family Therapist in Canyon Lake, California. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

31526 Railroad Canyon Rd Ste 5
Canyon Lake, CA 92587-9443
Phone: (951) 219-3255
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X

Record details

NPI number1831059468
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shannon Rodriguez — Therapist · (951) 219-3255
NPI enumeratedNovember 15, 2025
Last updated in NPPESNovember 15, 2025
Certification dateNovember 15, 2025
Mailing address31724 Casino Dr, Lake Elsinore, CA 92530-4510

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