| Acacia Center For Human Growth & Development, Inc. | |
|
819 W Franklin St Evansville IN 47710-1137 | |
| (812) 491-1805 | |
| (812) 491-1929 |
| Full Name | Acacia Center For Human Growth & Development, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 819 W Franklin St, Evansville, Indiana |
| Authorized Official Name and Position | Carolyn B. Hines (PRESIDENT) |
| Authorized Official Contact | 8124911805 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Acacia Center For Human Growth & Development, Inc. 819 W Franklin St Evansville IN 47710-1137 Ph: (812) 491-1805 | Acacia Center For Human Growth & Development, Inc. 819 W Franklin St Evansville IN 47710-1137 Ph: (812) 491-1805 |
| NPI Number | 1134206535 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 8628016599 |
|---|---|
| Medicare Enrollment ID | O20050420001378 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134206535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 20041439A (Indiana) | Primary |
| 1041C0700X | Social Worker - Clinical | 34004767A (Indiana) | Primary |
| Provider Name | Dawn S Gable |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043363963 PECOS PAC ID: 7315985280 Enrollment ID: I20050421001424 |
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