| Biofeedback Counseling Center | |
|
2580 Charlestown Rd New Albany IN 47150-2555 | |
| (502) 641-5989 | |
| Not Available |
| Full Name | Biofeedback Counseling Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 2580 Charlestown Rd, New Albany, Indiana |
| Authorized Official Name and Position | Krystal S Angevine (PRESIDENT) |
| Authorized Official Contact | 5026415989 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Biofeedback Counseling Center 9451 Voyles Rd Pekin IN 47165-9606 Ph: (502) 641-5989 | Biofeedback Counseling Center 2580 Charlestown Rd New Albany IN 47150-2555 Ph: (502) 641-5989 |
| NPI Number | 1528335924 |
|---|---|
| Provider Enumeration Date | 11/29/2011 |
| Last Update Date | 11/29/2011 |
| Medicare PECOS PAC ID | 7214194562 |
|---|---|
| Medicare Enrollment ID | O20120130000303 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528335924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 34001748A (Indiana) | Primary |
| Provider Name | Krystal S Angevine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336164524 PECOS PAC ID: 7719144062 Enrollment ID: I20120130000395 |
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