Foundations Counseling Services, Llc | |
630 Cottonwood Dr Dyer IN 46311-2207 | |
(219) 588-3540 | |
Not Available |
Full Name | Foundations Counseling Services, Llc |
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Speciality | Community/behavioral Health |
Location | 630 Cottonwood Dr, Dyer, Indiana |
Authorized Official Name and Position | Tabatha Creasbaum (OWNER) |
Authorized Official Contact | 2195883540 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Foundations Counseling Services, Llc 630 Cottonwood Dr Dyer IN 46311-2207 Ph: (219) 588-3540 | Foundations Counseling Services, Llc 630 Cottonwood Dr Dyer IN 46311-2207 Ph: (219) 588-3540 |
NPI Number | 1184005589 |
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Provider Enumeration Date | 06/11/2015 |
Last Update Date | 06/11/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184005589 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 39002363A (Indiana) | Primary |
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