| At Peace Llc | |
|
123 N Main St Ste 204j Crown Point IN 46307-4077 | |
| (219) 218-1005 | |
| Not Available |
| Full Name | At Peace Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 123 N Main St Ste 204j, Crown Point, Indiana |
| Authorized Official Name and Position | Theodore Flores (MEMBER) |
| Authorized Official Contact | 2192181005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| At Peace Llc 123 N Main St Ste 204j Crown Point IN 46307-4077 Ph: (219) 218-1005 | At Peace Llc 123 N Main St Ste 204j Crown Point IN 46307-4077 Ph: (219) 218-1005 |
| NPI Number | 1912630690 |
|---|---|
| Provider Enumeration Date | 07/08/2022 |
| Last Update Date | 07/08/2022 |
| Certification Date | 07/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912630690 | NPI | - | NPPES |
| 1356968499 | Other | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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