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

Sanctuary Psychotherapy Services LLC

Organization Clinical Social Worker · NPI 1104563378

Sanctuary Psychotherapy Services LLC is a Clinical Social Worker in Louisville, Kentucky. Registered with an NPI since 2022.

In the registry since
2022
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

5737 S Watterson Trl Apt 5
Louisville, KY 40291-1899
Phone: (452) 744-4708
Fax: (502) 331-6062
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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 number1104563378
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maria Wibbels — Owner · (845) 274-4470
NPI enumeratedMay 18, 2022
Last updated in NPPESMay 18, 2022
Certification dateMay 18, 2022
Mailing address5737 S Watterson Trl Apt 5, Louisville, KY 40291-1899

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