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General NPI Number Information
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NPI Number | 1356267900
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Entity Type | Organization
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Legal Business Name | SACRED MEDICINE LLC
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Dates
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Enumeration Date | 06/27/2026
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Last Update Date | 06/27/2026
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Provider Practice Location Address
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Address Line | 2191 DEFENSE HWY STE 312
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City | CROFTON
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State | MD
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Zip | 21114-2941
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Country | US
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Telephone | 443-267-4325
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Fax | 443-782-2251
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Provider Business Mailing Address
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Address Line | 2631 HOUSLEY RD # 1092
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City | ANNAPOLIS
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State | MD
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Zip | 21401-7030
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Country | US
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Telephone | 443-267-4325
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Fax | 443-782-2251
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Authorized Official
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Title or Position | OWNER / PRACTITIONER
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Name | AMY STAHLER
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Credential | LAC
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Telephone | 443-267-4325
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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