Gemini Recovery Center | |
300 Hope Ave Ste C Columbus IN 47201-6454 | |
(812) 341-6680 | |
Not Available |
Full Name | Gemini Recovery Center |
---|---|
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 300 Hope Ave Ste C, Columbus, Indiana |
Authorized Official Name and Position | Brandon Nielsen (OWNER) |
Authorized Official Contact | 8123416680 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gemini Recovery Center 300 Hope Ave Ste C Columbus IN 47201-6454 Ph: () - | Gemini Recovery Center 300 Hope Ave Ste C Columbus IN 47201-6454 Ph: (812) 341-6680 |
NPI Number | 1255149324 |
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Provider Enumeration Date | 12/20/2024 |
Last Update Date | 12/20/2024 |
Certification Date | 12/20/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255149324 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
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