| Christian Counseling Service, Llc | |
|
1645 S State Road 135 Salem IN 47167-9303 | |
| (812) 883-4877 | |
| Not Available |
| Full Name | Christian Counseling Service, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1645 S State Road 135, Salem, Indiana |
| Authorized Official Name and Position | Michael Dockery (OWNER) |
| Authorized Official Contact | 8128834877 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Christian Counseling Service, Llc 402 E Market St Salem IN 47167-2122 Ph: (812) 883-4877 | Christian Counseling Service, Llc 1645 S State Road 135 Salem IN 47167-9303 Ph: (812) 883-4877 |
| NPI Number | 1699515098 |
|---|---|
| Provider Enumeration Date | 05/31/2024 |
| Last Update Date | 05/31/2024 |
| Certification Date | 05/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699515098 | NPI | - | NPPES |
| 300069976 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
Lifespring, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1321 S Jackson St, Salem, IN 47167 Phone: 812-883-3095 | |
Ten Broeck Tennessee Physicians Group Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 911 N Shelby St, Salem, IN 47167 Phone: 812-883-8583 Fax: 812-883-8595 |