Clifty Counseling Llc | |
703 Green Rd Ste 1 Madison IN 47250-2145 | |
(812) 290-8237 | |
Not Available |
Full Name | Clifty Counseling Llc |
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Speciality | Social Worker |
Location | 703 Green Rd Ste 1, Madison, Indiana |
Authorized Official Name and Position | Michelle Renee Howard (SOCIAL WORKER/THERAPIST) |
Authorized Official Contact | 8122908237 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Clifty Counseling Llc 703 Green Rd Ste 1 Madison IN 47250-2145 Ph: (812) 290-8237 | Clifty Counseling Llc 703 Green Rd Ste 1 Madison IN 47250-2145 Ph: (812) 290-8237 |
NPI Number | 1801640305 |
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Provider Enumeration Date | 04/12/2024 |
Last Update Date | 04/12/2024 |
Certification Date | 04/12/2024 |
Medicare PECOS PAC ID | 9638604820 |
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Medicare Enrollment ID | O20241125002887 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801640305 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Michelle Renee Howard |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1205111325 PECOS PAC ID: 6901038520 Enrollment ID: I20140415000358 |
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