| Elizabeth Tully, Lcsw, Llc | |
|
590 Missouri Ave Ste 206c Jeffersonville IN 47130-3084 | |
| (812) 541-9929 | |
| (812) 461-0426 |
| Full Name | Elizabeth Tully, Lcsw, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 590 Missouri Ave Ste 206c, Jeffersonville, Indiana |
| Authorized Official Name and Position | Elizabeth Tully (THERAPIST) |
| Authorized Official Contact | 8125419929 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Tully, Lcsw, Llc 590 Missouri Ave Ste 206c Jeffersonville IN 47130-3084 Ph: (812) 541-9929 | Elizabeth Tully, Lcsw, Llc 590 Missouri Ave Ste 206c Jeffersonville IN 47130-3084 Ph: (812) 541-9929 |
| NPI Number | 1831662980 |
|---|---|
| Provider Enumeration Date | 01/10/2019 |
| Last Update Date | 01/10/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831662980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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