| Sacred Space Christian Counseling Llc | |
| 
					1150 N Ottokee St Wauseon OH 43567-1912  | |
| (419) 330-4141 | |
| (419) 330-4171 | 
| Full Name | Sacred Space Christian Counseling Llc | 
|---|---|
| Speciality | Counselor - Mental Health | 
| Location | 1150 N Ottokee St, Wauseon, Ohio | 
| Authorized Official Name and Position | Jean Wagner (OWNER) | 
| Authorized Official Contact | 4194386465 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Sacred Space Christian Counseling Llc 13361 County Road C2 Holgate OH 43527-9628 Ph: (419) 438-6465  | Sacred Space Christian Counseling Llc 1150 N Ottokee St Wauseon OH 43567-1912 Ph: (419) 330-4141  | 
| NPI Number | 1801783063 | 
|---|---|
| Provider Enumeration Date | 06/20/2025 | 
| Last Update Date | 06/20/2025 | 
| Certification Date | 06/20/2025 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1801783063 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary | 
Antonia Jensen & Associates, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1115-1 N Shoop Ave, Wauseon, OH 43567 Phone: 419-335-6122 Fax: 419-318-4157  | |
Family Services Of Northwest Ohio Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7320 State Highway 108 Ste A, Wauseon, OH 43567 Phone: 419-335-3732 Fax: 419-335-3462  | |
Mind Redo Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 7320 State Route 108 Ste A, Wauseon, OH 43567 Phone: 419-285-6655  | |
Fulton County Health Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 725 S Shoop Ave, Wauseon, OH 43567 Phone: 419-335-2015 Fax: 419-330-2602  | |
Robert K. Lomas Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 418 Birch St, Wauseon, OH 43567 Phone: 567-454-6254 Fax: 419-754-2647  | |
Joy D Fruchey And Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1050 N Shoop Ave, Wauseon, OH 43567 Phone: 567-343-6068  | |
Family Service Of Northwest Ohio Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7320 State Highway 108, Suite A, Wauseon, OH 43567 Phone: 419-335-3732 Fax: 419-335-3462  |