| Child Therapy Lab Llc | |
|
53174 Flowing Stream Ct South Bend IN 46628-9034 | |
| (317) 662-4403 | |
| (317) 900-1896 |
| Full Name | Child Therapy Lab Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 53174 Flowing Stream Ct, South Bend, Indiana |
| Authorized Official Name and Position | Roniqua Teshae Zimmermann (OWNER/DIRECTOR) |
| Authorized Official Contact | 3176624403 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Child Therapy Lab Llc 53174 Flowing Stream Ct South Bend IN 46628-9034 Ph: (317) 662-4403 | Child Therapy Lab Llc 53174 Flowing Stream Ct South Bend IN 46628-9034 Ph: (317) 662-4403 |
| NPI Number | 1952075574 |
|---|---|
| Provider Enumeration Date | 08/06/2021 |
| Last Update Date | 08/06/2021 |
| Certification Date | 08/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952075574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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 |