| In Deep Counseling | |
|
2901 Ohio Blvd Terre Haute IN 47803-2239 | |
| (317) 730-0821 | |
| Not Available |
| Full Name | In Deep Counseling |
|---|---|
| Speciality | Counselor |
| Location | 2901 Ohio Blvd, Terre Haute, Indiana |
| Authorized Official Name and Position | Mary E Walker (OWNER/THERAPIST) |
| Authorized Official Contact | 3177300821 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| In Deep Counseling 6645 W Private Road 440 N Brazil IN 47834-7363 Ph: (317) 730-0821 | In Deep Counseling 2901 Ohio Blvd Terre Haute IN 47803-2239 Ph: (317) 730-0821 |
| NPI Number | 1871205161 |
|---|---|
| Provider Enumeration Date | 12/19/2022 |
| Last Update Date | 01/09/2024 |
| Certification Date | 01/09/2024 |
| Medicare PECOS PAC ID | 9830542919 |
|---|---|
| Medicare Enrollment ID | O20240124004256 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871205161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Mary Ellen Walker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427371152 PECOS PAC ID: 5092195503 Enrollment ID: I20240124004337 |
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