Healthy Behavior Therapeutic Services, Llc | |
2247 Autumn Faith Way # 2247 Avon IN 46123-7297 | |
(317) 200-0046 | |
Not Available |
Full Name | Healthy Behavior Therapeutic Services, Llc |
---|---|
Speciality | Social Worker |
Location | 2247 Autumn Faith Way # 2247, Avon, Indiana |
Authorized Official Name and Position | Nicole Hazel (CEO) |
Authorized Official Contact | 3172000046 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Healthy Behavior Therapeutic Services, Llc 2247 Autumn Faith Way # 2247 Avon IN 46123-7297 Ph: (317) 200-0046 | Healthy Behavior Therapeutic Services, Llc 2247 Autumn Faith Way # 2247 Avon IN 46123-7297 Ph: (317) 200-0046 |
NPI Number | 1215709365 |
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Provider Enumeration Date | 10/23/2023 |
Last Update Date | 10/23/2023 |
Certification Date | 10/23/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215709365 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
104100000X | Social Worker | (* (Not Available)) | Primary |
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