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 provides Clinical Social Worker services 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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