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

Sacred Space Therapy LLC

Organization Clinical Social Worker · NPI 1174205777

Sacred Space Therapy LLC is a Clinical Social Worker in Albuquerque, New Mexico. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2445 Iris Rd NW
Albuquerque, NM 87104-3008
Phone: (505) 259-1737
Fax: (505) 448-7925
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1174205777
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gloria Blea Johnson — Owner · (505) 259-1737
NPI enumeratedAugust 2, 2023
Last updated in NPPESApril 20, 2024
Certification dateApril 20, 2024
Mailing addressPo Box 70112, Albuquerque, NM 87197-0112

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