Holistic Therapy Services | |
746 9th St Tell City IN 47586-1711 | |
(812) 548-0930 | |
(812) 548-0931 |
Full Name | Holistic Therapy Services |
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Speciality | Social Worker |
Location | 746 9th St, Tell City, Indiana |
Authorized Official Name and Position | Linda Sue Gengelbach (DIRECTOR) |
Authorized Official Contact | 8125480930 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Holistic Therapy Services 746 9th St Tell City IN 47586-1711 Ph: (812) 548-0930 | Holistic Therapy Services 746 9th St Tell City IN 47586-1711 Ph: (812) 548-0930 |
NPI Number | 1356529895 |
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Provider Enumeration Date | 02/06/2008 |
Last Update Date | 06/19/2008 |
Medicare PECOS PAC ID | 5597727909 |
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Medicare Enrollment ID | O20220609001897 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356529895 | NPI | - | NPPES |
000000337944 | Other | IN | BC/BS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 34003528A (Indiana) | Primary |
Provider Name | Linda Gengelbach |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1457493314 PECOS PAC ID: 2769444173 Enrollment ID: I20210505002628 |
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