| Green House And Associates Inc | |
|
6246 W Broadway # 200 Mccordsville IN 46055 | |
| (317) 253-7387 | |
| (317) 253-7388 |
| Full Name | Green House And Associates Inc |
|---|---|
| Speciality | Psychologist |
| Location | 6246 W Broadway # 200, Mccordsville, Indiana |
| Authorized Official Name and Position | Laura A Huddleston (OWNER/PRESIDENT) |
| Authorized Official Contact | 3172537387 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Green House And Associates Inc Po Box 361327 Indianapolis IN 46236-1327 Ph: (317) 253-7387 | Green House And Associates Inc 6246 W Broadway # 200 Mccordsville IN 46055 Ph: (317) 253-7387 |
| NPI Number | 1558316463 |
|---|---|
| Provider Enumeration Date | 05/23/2006 |
| Last Update Date | 01/29/2019 |
| Medicare PECOS PAC ID | 4688667488 |
|---|---|
| Medicare Enrollment ID | O20160222002048 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558316463 | NPI | - | NPPES |
| DA9104 | Other | IN | RAILROAD MEDICARE |
| 000000291010 | Other | IN | BCBS |
| 200427380 A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| Provider Name | Carla L Adams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790983484 PECOS PAC ID: 6608881438 Enrollment ID: I20060215000042 |
| Provider Name | Angela D Olsen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881982544 PECOS PAC ID: 3577664853 Enrollment ID: I20150709000018 |
| Provider Name | Tracy A Reid-barrow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780950881 PECOS PAC ID: 4082923735 Enrollment ID: I20161101000561 |
Mentoring With Magic Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7050 N Oxford Ln, Mccordsville, IN 46055 Phone: 317-517-3030 | |
Vaal Counseling Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 9693 Highview Ln, Mccordsville, IN 46055 Phone: 812-453-4202 Fax: 812-289-6201 |