Choices Counseling Services, P.c. | |
607 Lincolnway Valparaiso IN 46383-5727 | |
(219) 548-8727 | |
(219) 465-7211 |
Full Name | Choices Counseling Services, P.c. |
---|---|
Speciality | Clinic/Center |
Location | 607 Lincolnway, Valparaiso, Indiana |
Authorized Official Name and Position | Mark Dranger (OFFICE MANAGER) |
Authorized Official Contact | 2195488727 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Choices Counseling Services, P.c. 607 Lincolnway Valparaiso IN 46383-5727 Ph: (219) 548-8727 | Choices Counseling Services, P.c. 607 Lincolnway Valparaiso IN 46383-5727 Ph: (219) 548-8727 |
NPI Number | 1578566915 |
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Provider Enumeration Date | 05/31/2005 |
Last Update Date | 11/16/2011 |
Medicare PECOS PAC ID | 8921270992 |
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Medicare Enrollment ID | O20111017000681 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578566915 | NPI | - | NPPES |
200275200 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Pauline N Dranger |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1003942806 PECOS PAC ID: 9537139555 Enrollment ID: I20111017000721 |
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