| Er Counseling Llc | |
|
54 W Broadway St Ste 6 Shelbyville IN 46176-1267 | |
| (812) 345-0499 | |
| (866) 793-0495 |
| Full Name | Er Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 54 W Broadway St Ste 6, Shelbyville, Indiana |
| Authorized Official Name and Position | Victoria Ann Harris (PRESIDENT) |
| Authorized Official Contact | 8123450499 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Er Counseling Llc 54 W Broadway St Ste 6 Shelbyville IN 46176-1267 Ph: (812) 345-0499 | Er Counseling Llc 54 W Broadway St Ste 6 Shelbyville IN 46176-1267 Ph: (812) 345-0499 |
| NPI Number | 1487071445 |
|---|---|
| Provider Enumeration Date | 03/27/2014 |
| Last Update Date | 03/27/2014 |
| Medicare PECOS PAC ID | 0547491896 |
|---|---|
| Medicare Enrollment ID | O20140329000102 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487071445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 34005767A (Indiana) | Primary |
| 251S00000X | Community/behavioral Health | 87000018A (Indiana) | Secondary |
| Provider Name | Victoria A Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083782114 PECOS PAC ID: 5991984130 Enrollment ID: I20110120000582 |
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