| Dream Catchers Youth And Family Services Llc | |
|
8396 Aster Dr Merrillville IN 46410-5260 | |
| (219) 433-1249 | |
| Not Available |
| Full Name | Dream Catchers Youth And Family Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 8396 Aster Dr, Merrillville, Indiana |
| Authorized Official Name and Position | Evita Roby (OWNER) |
| Authorized Official Contact | 2194331249 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dream Catchers Youth And Family Services Llc 8396 Aster Dr Merrillville IN 46410-5260 Ph: () - | Dream Catchers Youth And Family Services Llc 8396 Aster Dr Merrillville IN 46410-5260 Ph: (219) 433-1249 |
| NPI Number | 1801530274 |
|---|---|
| Provider Enumeration Date | 04/22/2022 |
| Last Update Date | 10/17/2022 |
| Certification Date | 10/17/2022 |
| Medicare PECOS PAC ID | 6709253768 |
|---|---|
| Medicare Enrollment ID | O20221103001118 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801530274 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Pamela Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992440408 PECOS PAC ID: 8426425489 Enrollment ID: I20221103001128 |
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