Healing Sands Corp | |
2680 E Main St Plainfield IN 46168-2825 | |
(812) 345-5321 | |
Not Available |
Full Name | Healing Sands Corp |
---|---|
Speciality | Social Worker - Clinical |
Location | 2680 E Main St, Plainfield, Indiana |
Authorized Official Name and Position | Amanda L Trenta (OWNER) |
Authorized Official Contact | 8123455321 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Healing Sands Corp 4980 W Gifford Rd Bloomington IN 47403-9266 Ph: (812) 345-5321 | Healing Sands Corp 2680 E Main St Plainfield IN 46168-2825 Ph: (812) 345-5321 |
NPI Number | 1053866053 |
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Provider Enumeration Date | 08/19/2016 |
Last Update Date | 08/19/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053866053 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 34004881A (Indiana) | Primary |
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