Organization
SACRED SPACE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT DECKERT LPC (PRESIDENT)
(616) 405-4188
Entity
Organization
Contact information
Practice address
17214 VAN WAGONER RD, SPRING LAKE, MI 49456-9702
(616) 405-4188
(616) 935-1288
Mailing address
17214 VAN WAGONER RD, SPRING LAKE, MI 49456-9702
(616) 405-4188
(616) 935-1288
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401009234
MI
Other
Enumeration date
08/29/2012
Last updated
05/12/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up