Amanda Corder, | |
831 Dillon Dr, Richmond, IN 47374-8048 | |
(765) 983-8000 | |
(765) 983-8609 |
Full Name | Amanda Corder |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 831 Dillon Dr, Richmond, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790855344 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 39001938A (Indiana) | Primary |
Entity Name | Centerstone Of Indiana, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992781470 PECOS PAC ID: 9436138427 Enrollment ID: O20040830000711 |
Mailing Address | Practice Location Address |
---|---|
Amanda Corder, Po Box 487, Richmond, IN 47375-0487 Ph: (765) 983-8000 | Amanda Corder, 831 Dillon Dr, Richmond, IN 47374-8048 Ph: (765) 983-8000 |
Tami Vance, Counselor Medicare: Not Enrolled in Medicare Practice Location: 831 Dillon Dr, Richmond, IN 47374 Phone: 765-983-8000 Fax: 765-983-8609 | |
Nancy Turner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 831 Dillon Dr, Richmond, IN 47374 Phone: 765-983-8000 Fax: 765-983-8609 | |
Mr. Dallas Randall Wilson, MSW, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 16 Sw 5th St, Richmond, IN 47374 Phone: 765-288-1928 Fax: 765-935-1582 | |
Emily Jarboe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 831 Dillon Dr, Richmond, IN 47374 Phone: 765-983-8000 Fax: 765-983-8609 | |
Leia Thompson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 831 Dillon Dr, Richmond, IN 47374 Phone: 765-983-8000 Fax: 765-983-8609 | |
Monica Kinley-kuhn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 831 Dillon Dr, Richmond, IN 47374 Phone: 765-983-8000 Fax: 765-983-8609 | |
Michael Delaney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 831 Dillon Dr, Richmond, IN 47374 Phone: 765-983-8000 Fax: 765-983-8609 |