| Behavior Services & Therapy | |
|
912 E Lasalle Ave South Bend IN 46617-2817 | |
| (574) 231-8000 | |
| (574) 231-8013 |
| Full Name | Behavior Services & Therapy |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 912 E Lasalle Ave, South Bend, Indiana |
| Authorized Official Name and Position | Robin Buchanan (OFFICE MANAGER) |
| Authorized Official Contact | 5742318000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavior Services & Therapy 912 E Lasalle Ave South Bend IN 46617-2817 Ph: (574) 231-8000 | Behavior Services & Therapy 912 E Lasalle Ave South Bend IN 46617-2817 Ph: (574) 231-8000 |
| NPI Number | 1659555852 |
|---|---|
| Provider Enumeration Date | 12/24/2007 |
| Last Update Date | 03/03/2023 |
| Certification Date | 03/25/2022 |
| Medicare PECOS PAC ID | 0648644641 |
|---|---|
| Medicare Enrollment ID | O20230314001788 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659555852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Bradley S Mazick |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518933779 PECOS PAC ID: 4789764184 Enrollment ID: I20230314000221 |
| Provider Name | Jennifer L Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497483390 PECOS PAC ID: 5991189706 Enrollment ID: I20240531002448 |
National Youth Advocate Program, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3631 Edison Rd, South Bend, IN 46615 Phone: 800-270-3756 Fax: 219-293-8604 | |
Stepwise Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2012 Ironwood Cir, South Bend, IN 46635 Phone: 574-273-2743 Fax: 574-273-2746 | |
Infinity Behavioral Systems Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1318 Mishawaka Ave, South Bend, IN 46615 Phone: 574-204-2935 Fax: 574-387-4794 | |
Reflections Counseling Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2955 Mckinley Ave, Suite C, South Bend, IN 46615 Phone: 574-222-2466 Fax: 574-222-2468 | |
Family Foundations, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 17566 Fleetwood Ln, South Bend, IN 46635 Phone: 574-271-0121 | |
A Mills Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 557 Hildebrand St, South Bend, IN 46614 Phone: 574-261-2416 Fax: 574-807-9616 | |
River Valley Wellness Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 227 Dixieway North, Suite 200, South Bend, IN 46637 Phone: 574-272-7700 Fax: 574-272-7800 |