Mrs Regina Baron, LMHC | |
1409 E 84th Pl, Merrillville, IN 46410-6451 | |
(219) 794-2000 | |
Not Available |
Full Name | Mrs Regina Baron |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1409 E 84th Pl, Merrillville, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760669824 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 39001851A (Indiana) | Primary |
Entity Name | Southlake Community Mental Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821081290 PECOS PAC ID: 5991600355 Enrollment ID: O20031231000117 |
Mailing Address | Practice Location Address |
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Mrs Regina Baron, LMHC 8400 Louisiana St, Merrillville, IN 46410-6385 Ph: (219) 757-1928 | Mrs Regina Baron, LMHC 1409 E 84th Pl, Merrillville, IN 46410-6451 Ph: (219) 794-2000 |
Mary Sullivan, BLS Counselor Medicare: Not Enrolled in Medicare Practice Location: 8555 Taft St, Merrillville, IN 46410 Phone: 219-769-4005 | |
Sandra Demos Kelley, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8300 Broadway, F1, Merrillville, IN 46410 Phone: 219-736-1000 Fax: 219-736-9699 | |
Vanessa Qualls, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 521 E 86th Ave, Merrillville, IN 46410 Phone: 219-323-3311 | |
Tara Robin Durant, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8200 Georgia St, Merrillville, IN 46410 Phone: 219-791-1400 Fax: 219-791-1422 | |
Monika Marie Segally, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8555 Taft St, Merrillville, IN 46410 Phone: 219-769-4005 | |
Melissa Sanchez, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 8555 Taft St, Merrillville, IN 46410 Phone: 219-769-4005 | |
Jason Herr, LMHC, CP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1409 E 84th Pl, Merrillville, IN 46410 Phone: 219-794-2000 Fax: 219-794-2010 |