Mr Robert Dale Owens Ii, | |
705 Harrison St, La Porte, IN 46350 | |
(219) 229-0109 | |
Not Available |
Full Name | Mr Robert Dale Owens Ii |
---|---|
Gender | Male |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 705 Harrison St, La Porte, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528381407 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | CDCA.130090 (Ohio) | Primary |
Entity Name | Northern Indiana Therapies |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316356504 PECOS PAC ID: 7517333206 Enrollment ID: O20221020002963 |
Mailing Address | Practice Location Address |
---|---|
Mr Robert Dale Owens Ii, 705 Harrison St, La Porte, IN 46350-3417 Ph: (219) 229-0109 | Mr Robert Dale Owens Ii, 705 Harrison St, La Porte, IN 46350 Ph: (219) 229-0109 |
Belinda C Witherow, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1501 State St, La Porte, IN 46350 Phone: 219-362-5000 Fax: 219-362-5005 | |
Diane Apostoloff, Counselor Medicare: Not Enrolled in Medicare Practice Location: 424 Perry St, La Porte, IN 46350 Phone: 219-809-0333 Fax: 219-531-0859 | |
Mrs. Deana Sherbondy, MA, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 809 Jefferson Ave, La Porte, IN 46350 Phone: 219-898-5646 | |
Denise Ndukwu, LMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 910 Michigan Ave, La Porte, IN 46350 Phone: 219-229-0109 | |
Susan Lenig, LMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 804 Monroe St, La Porte, IN 46350 Phone: 219-229-0109 | |
Valerie Weber, MA, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 804 Monroe St, La Porte, IN 46350 Phone: 219-229-0109 | |
Amanda Benson, LMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 804 Monroe St, La Porte, IN 46350 Phone: 219-229-0109 |