| Crystal Valley Professional Consultants | |
|
106 E Berry St Middlebury IN 46540 | |
| (574) 825-7662 | |
| (574) 825-3254 |
| Full Name | Crystal Valley Professional Consultants |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 106 E Berry St, Middlebury, Indiana |
| Authorized Official Name and Position | Donald L Munn (OWNER) |
| Authorized Official Contact | 5748257662 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Valley Professional Consultants Po Box 63 Middlebury IN 46540 Ph: (574) 825-7662 | Crystal Valley Professional Consultants 106 E Berry St Middlebury IN 46540 Ph: (574) 825-7662 |
| NPI Number | 1750354890 |
|---|---|
| Provider Enumeration Date | 02/09/2006 |
| Last Update Date | 09/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750354890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 34000437A (Indiana) | Primary |
| 106H00000X | Marriage & Family Therapist | 35001177A (Indiana) | Secondary |
Playful Healing, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Wayne Street, Suite A, Middlebury, IN 46540 Phone: 574-536-3602 |