Mr Travis Van Deaton, | |
51960 Gumwood Rd., Granger, IN 46530-7068 | |
(574) 247-4665 | |
Not Available |
Full Name | Mr Travis Van Deaton |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 51960 Gumwood Rd., Granger, Indiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952547903 | NPI | - | NPPES |
200429240 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Travis Van Deaton, 51960 Gumwood Rd, Granger, IN 46530-6207 Ph: (574) 247-4665 | Mr Travis Van Deaton, 51960 Gumwood Rd., Granger, IN 46530-7068 Ph: (574) 247-4665 |
Kay R Correira, MA LMHC NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6910 N Main Street, Granger, IN 46530 Phone: 574-286-6172 Fax: 574-273-8743 | |
Dawn R Russell, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 6910 N Main St Unit 4, Granger, IN 46530 Phone: 574-931-2680 Fax: 574-931-2679 | |
Mrs. Nicole Marie Taulbee, M.A., L.M.H.C., LPC Counselor Medicare: Medicare Enrolled Practice Location: 6910 N. Main St. Unit 31, Suite 12h, Granger, IN 46530 Phone: 866-845-4026 Fax: 866-845-4026 | |
Leanne Marie Martin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6910 N Main St Unit 4, Granger, IN 46530 Phone: 574-931-2680 | |
Marla L Godette, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 11959 Adams Rd, Granger, IN 46530 Phone: 248-470-1730 | |
Cassandra Mielcarek, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 6910 N Main St Unit 2, Granger, IN 46530 Phone: 574-274-2365 | |
Sharon Donnelly Keller, M.S., L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 6910 N Main St, Unit 13c, Box 51, Granger, IN 46530 Phone: 574-524-6307 Fax: 574-222-1507 |