| Cultivating Life Clinic | |
|
3607 S Main St South Bend IN 46614-1723 | |
| (574) 444-0256 | |
| Not Available |
| Full Name | Cultivating Life Clinic |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 3607 S Main St, South Bend, Indiana |
| Authorized Official Name and Position | Larissa Chism Buggs (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5744440256 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cultivating Life Clinic 3607 S Main St Ste 1 South Bend IN 46614-1723 Ph: (574) 444-0256 | Cultivating Life Clinic 3607 S Main St South Bend IN 46614-1723 Ph: (574) 444-0256 |
| NPI Number | 1982415873 |
|---|---|
| Provider Enumeration Date | 01/18/2025 |
| Last Update Date | 01/18/2025 |
| Certification Date | 01/18/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982415873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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