MEDICARE: SACRED STORY COUNSELING, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1750274031
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SACRED STORY COUNSELING, LLC

Provider Business Mailing Address
First Line	:	109 TEFT RD
Second Line	:	PO BOX 15
City	:	SPRING ARBOR
State	:	MI
Zip	:	49283
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	515 S WEST AVE
Second Line	:
City	:	JACKSON
State	:	MI
Zip	:	49203-1639
Country	:	US
Telephone Number	:	734-408-1212
Fax Number	:

Authorized Official
Title or Position	:	OWNER & THERAPIST
Name	:	HANNAH SINKOVITZ
Credential	:	LPC
Telephone Number	:	734-408-1212

Provider Enumeration Date	:	06/03/2025
Last Update Date	:	06/03/2025

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