| Hoosier Counseling, Llc | |
|
4760 S Dunlap Rd Bloomington IN 47403-9649 | |
| (181) 236-9529 | |
| Not Available |
| Full Name | Hoosier Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 4760 S Dunlap Rd, Bloomington, Indiana |
| Authorized Official Name and Position | Ross Manning (OWNER) |
| Authorized Official Contact | 8123695296 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hoosier Counseling, Llc 4760 S Dunlap Rd Bloomington IN 47403-9649 Ph: (181) 236-9529 | Hoosier Counseling, Llc 4760 S Dunlap Rd Bloomington IN 47403-9649 Ph: (181) 236-9529 |
| NPI Number | 1033840590 |
|---|---|
| Provider Enumeration Date | 06/23/2022 |
| Last Update Date | 06/23/2022 |
| Certification Date | 06/23/2022 |
| Medicare PECOS PAC ID | 6901280734 |
|---|---|
| Medicare Enrollment ID | O20220829001560 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033840590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Ross Manning |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871835769 PECOS PAC ID: 6608010020 Enrollment ID: I20130924000800 |
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