| Beyond The Clouds Counseling Llc | |
|
505 Colonial Ct Plymouth IN 46563-1860 | |
| (574) 933-1201 | |
| (574) 968-7404 |
| Full Name | Beyond The Clouds Counseling Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 505 Colonial Ct, Plymouth, Indiana |
| Authorized Official Name and Position | Tara Miller (OWNER/COUNSELOR) |
| Authorized Official Contact | 5749331201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beyond The Clouds Counseling Llc 10811 Cardinal Cir Plymouth IN 46563-7970 Ph: (574) 933-1201 | Beyond The Clouds Counseling Llc 505 Colonial Ct Plymouth IN 46563-1860 Ph: (574) 933-1201 |
| NPI Number | 1497233647 |
|---|---|
| Provider Enumeration Date | 07/31/2018 |
| Last Update Date | 07/31/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497233647 | NPI | - | NPPES |
| 1326225004 | Other | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 34005729A (Indiana) | Primary |
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