| Bloomington Counseling And Wellness Services, Llc | |
|
101 W Kirkwood Ave Ste 103 Bloomington IN 47404-6134 | |
| (812) 633-9194 | |
| Not Available |
| Full Name | Bloomington Counseling And Wellness Services, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 101 W Kirkwood Ave Ste 103, Bloomington, Indiana |
| Authorized Official Name and Position | Robert Quinby (PSYCHOLOGIST) |
| Authorized Official Contact | 8126339194 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloomington Counseling And Wellness Services, Llc 101 W Kirkwood Ave Ste 103 Bloomington IN 47404-6134 Ph: () - | Bloomington Counseling And Wellness Services, Llc 101 W Kirkwood Ave Ste 103 Bloomington IN 47404-6134 Ph: (812) 633-9194 |
| NPI Number | 1265824122 |
|---|---|
| Provider Enumeration Date | 03/02/2015 |
| Last Update Date | 04/24/2024 |
| Certification Date | 04/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265824122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 20042834A (Indiana) | Primary |
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