| Harbor Lights Therapy | |
|
610 S Tillotson Ave Suite 101 Muncie IN 47304-4430 | |
| (765) 744-9597 | |
| Not Available |
| Full Name | Harbor Lights Therapy |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 610 S Tillotson Ave, Muncie, Indiana |
| Authorized Official Name and Position | Tamara Lee Imel (OWNER) |
| Authorized Official Contact | 7652811300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Harbor Lights Therapy 610 S Tillotson Ave Suite 101 Muncie IN 47304-4430 Ph: (765) 744-9597 | Harbor Lights Therapy 610 S Tillotson Ave Suite 101 Muncie IN 47304-4430 Ph: (765) 744-9597 |
| NPI Number | 1245402783 |
|---|---|
| Provider Enumeration Date | 03/25/2008 |
| Last Update Date | 09/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245402783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 39001395A (Indiana) | Primary |
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