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NPI Code Detail

MEDICARE: SACRED PAUSE COUNSELING LLC

MEDICARE: SACRED PAUSE 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
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1972452621
Entity Type Code : Organization
Provider Name (Legal Business Name) : SACRED PAUSE COUNSELING LLC
Provider Business Mailing Address
First Line : 1495 CREST RD
Second Line :
City : CLEVELAND HEIGHTS
State : OH
Zip : 44121-1719
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1495 CREST RD
Second Line :
City : CLEVELAND HEIGHTS
State : OH
Zip : 44121-1719
Country : US
Telephone Number : 216-372-6818
Fax Number :
Authorized Official
Title or Position : LPCC
Name : ALEXA JURCISIN
Credential : LPCC
Telephone Number : 216-372-6818
Provider Enumeration Date : 01/26/2026
Last Update Date : 01/26/2026

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Directions to “SACRED PAUSE COUNSELING LLC ” Practice Location

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