| |
4323 Silver Glade Trl # Us Sellersburg IN 47172-1785 | |
(502) 457-3969 | |
(812) 748-0181 |
Full Name | |
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Speciality | Clinic/Center |
Location | 4323 Silver Glade Trl # Us, Sellersburg, Indiana |
Authorized Official Name and Position | Julie E Griffin (PSYCHOLOGICAL THERAPIST) |
Authorized Official Contact | 5024573969 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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4323 Silver Glade Trl # Us Sellersburg IN 47172-1785 Ph: (502) 457-3969 | 4323 Silver Glade Trl # Us Sellersburg IN 47172-1785 Ph: (502) 457-3969 |
NPI Number | 1225892193 |
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Provider Enumeration Date | 02/12/2024 |
Last Update Date | 02/24/2024 |
Certification Date | 02/24/2024 |
Medicare PECOS PAC ID | 6901339068 |
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Medicare Enrollment ID | O20241028001966 |
Identifier | Type | State | Issuer |
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1225892193 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Julie E Griffin |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1689964769 PECOS PAC ID: 7719410877 Enrollment ID: I20241028002018 |
Sn Kentuckiana Rehab, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 651 Hamburg Way Ste 300, Sellersburg, IN 47172 Phone: 812-248-8180 | |
Greg Smith Md Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 Hunter Station Way, Suite 201, Sellersburg, IN 47172 Phone: 812-248-4789 Fax: 812-248-4773 |