Nourish2flourish Psychology, Llc | |
120 W 7th St Bloomington IN 47404 | |
(812) 929-4593 | |
(812) 961-6551 |
Full Name | Nourish2flourish Psychology, Llc |
---|---|
Speciality | Psychologist - Clinical |
Location | 120 W 7th St, Bloomington, Indiana |
Authorized Official Name and Position | Amanda Roth (CLINICAL PSYCHOLOGIST OWNER) |
Authorized Official Contact | 8129294593 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Nourish2flourish Psychology, Llc 3849 S Cramer Cir Bloomington IN 47403-8997 Ph: (812) 929-4593 | Nourish2flourish Psychology, Llc 120 W 7th St Bloomington IN 47404 Ph: (812) 929-4593 |
NPI Number | 1053067124 |
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Provider Enumeration Date | 02/26/2022 |
Last Update Date | 05/25/2023 |
Certification Date | 05/25/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053067124 | NPI | - | NPPES |
1588334171 | Other | IN | PSYCHOLOGIST |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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› Verified 6 days ago
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