| Dvp Counseling And Behavioral Services , Llc | |
|
9370 Tyler St Crown Point IN 46307-2275 | |
| (219) 730-6582 | |
| Not Available |
| Full Name | Dvp Counseling And Behavioral Services , Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9370 Tyler St, Crown Point, Indiana |
| Authorized Official Name and Position | Elivia Mae Pittman (OWNER) |
| Authorized Official Contact | 2196612602 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dvp Counseling And Behavioral Services , Llc 9370 Tyler St Crown Point IN 46307-2275 Ph: (219) 730-6582 | Dvp Counseling And Behavioral Services , Llc 9370 Tyler St Crown Point IN 46307-2275 Ph: (219) 730-6582 |
| NPI Number | 1891482485 |
|---|---|
| Provider Enumeration Date | 04/24/2023 |
| Last Update Date | 04/24/2023 |
| Certification Date | 04/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891482485 | NPI | - | NPPES |
| 300059112 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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