Healing Bridges Counseling, Llc | |
4735 Statesmen Dr Ste A Indianapolis IN 46250-5647 | |
(317) 986-4956 | |
(317) 452-8821 |
Full Name | Healing Bridges Counseling, Llc |
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Speciality | Marriage & Family Therapist |
Location | 4735 Statesmen Dr Ste A, Indianapolis, Indiana |
Authorized Official Name and Position | Kathryn Miller (OWNER) |
Authorized Official Contact | 3179864956 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Healing Bridges Counseling, Llc 4735 Statesmen Dr Ste A Indianapolis IN 46250-5647 Ph: (317) 986-4956 | Healing Bridges Counseling, Llc 4735 Statesmen Dr Ste A Indianapolis IN 46250-5647 Ph: (317) 986-4956 |
NPI Number | 1205313608 |
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Provider Enumeration Date | 07/27/2018 |
Last Update Date | 03/29/2024 |
Certification Date | 03/29/2024 |
Medicare PECOS PAC ID | 6507399177 |
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Medicare Enrollment ID | O20241104003742 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205313608 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
Provider Name | Kathryn Miller |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1467991315 PECOS PAC ID: 1951678085 Enrollment ID: I20241104003787 |
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