| Associates In Behavioral Counseling Pc | |
|
4607 N Wheeling Ave Muncie IN 47304 | |
| (765) 288-1110 | |
| (765) 288-4044 |
| Full Name | Associates In Behavioral Counseling Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4607 N Wheeling Ave, Muncie, Indiana |
| Authorized Official Name and Position | Terrie Lynn Vannatta (PRESIDENT OF CORPORATION) |
| Authorized Official Contact | 7652881110 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Associates In Behavioral Counseling Pc 4607 N Wheeling Ave Muncie IN 47304 Ph: (765) 288-1110 | Associates In Behavioral Counseling Pc 4607 N Wheeling Ave Muncie IN 47304 Ph: (765) 288-1110 |
| NPI Number | 1982631164 |
|---|---|
| Provider Enumeration Date | 06/26/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2062466063 |
|---|---|
| Medicare Enrollment ID | O20050311000189 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982631164 | NPI | - | NPPES |
| 000000299446 | Other | BLUE CROSS BS ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Michele J Boberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053499749 PECOS PAC ID: 1052505641 Enrollment ID: I20101027001118 |
| Provider Name | Robyn N Eubank |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265733026 PECOS PAC ID: 5193993533 Enrollment ID: I20110729000312 |
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