Enlightened Mental Health, Llc | |
401 S Earl Ave Ste 4a Lafayette IN 47904-3265 | |
(317) 597-6501 | |
Not Available |
Full Name | Enlightened Mental Health, Llc |
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Speciality | Psychologist |
Location | 401 S Earl Ave Ste 4a, Lafayette, Indiana |
Authorized Official Name and Position | Tammy Lesher (OWNER, CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 7654902090 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Enlightened Mental Health, Llc 1845 Blackbird Ct West Lafayette IN 47906-6501 Ph: (765) 490-2090 | Enlightened Mental Health, Llc 401 S Earl Ave Ste 4a Lafayette IN 47904-3265 Ph: (317) 597-6501 |
NPI Number | 1992494371 |
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Provider Enumeration Date | 05/02/2023 |
Last Update Date | 05/02/2023 |
Certification Date | 05/02/2023 |
Medicare PECOS PAC ID | 9931567005 |
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Medicare Enrollment ID | O20230621003468 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992494371 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
Provider Name | Laura Ann West |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1477264216 PECOS PAC ID: 6002286887 Enrollment ID: I20230112002048 |
Provider Name | Kyle A Wehmann |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1609588680 PECOS PAC ID: 6709257389 Enrollment ID: I20230118000785 |
Provider Name | Tammy Jane Lesher |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1497412068 PECOS PAC ID: 2264802040 Enrollment ID: I20230607000333 |
Provider Name | Abigail Hill |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1679908842 PECOS PAC ID: 2163875550 Enrollment ID: I20240201002941 |
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