| Hope Chest Tikkun Olam Center Llc | |
|
1715 N Granville Ave Ste C Muncie IN 47303-2149 | |
| (765) 717-1403 | |
| Not Available |
| Full Name | Hope Chest Tikkun Olam Center Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1715 N Granville Ave Ste C, Muncie, Indiana |
| Authorized Official Name and Position | Teresa N Long (THERAPIST) |
| Authorized Official Contact | 7657171403 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Chest Tikkun Olam Center Llc 1715 N Granville Ave Ste C Muncie IN 47303-2149 Ph: (765) 749-7300 | Hope Chest Tikkun Olam Center Llc 1715 N Granville Ave Ste C Muncie IN 47303-2149 Ph: (765) 717-1403 |
| NPI Number | 1205434107 |
|---|---|
| Provider Enumeration Date | 10/13/2020 |
| Last Update Date | 10/13/2020 |
| Certification Date | 10/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205434107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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