Indiana Telepsych Np, Llc | |
1246 E Marigold Dr Bloomington IN 47401-8983 | |
(812) 599-4138 | |
Not Available |
Full Name | Indiana Telepsych Np, Llc |
---|---|
Speciality | Clinic/center - Adult Mental Health |
Location | 1246 E Marigold Dr, Bloomington, Indiana |
Authorized Official Name and Position | Amanda Kent (OWNER) |
Authorized Official Contact | 8125994138 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Indiana Telepsych Np, Llc 1246 E Marigold Dr Bloomington IN 47401-8983 Ph: (812) 599-4138 | Indiana Telepsych Np, Llc 1246 E Marigold Dr Bloomington IN 47401-8983 Ph: (812) 599-4138 |
NPI Number | 1528823697 |
---|---|
Provider Enumeration Date | 02/19/2024 |
Last Update Date | 02/19/2024 |
Certification Date | 02/18/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528823697 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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› Verified 8 days ago
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