| Indiana Professional Management Group, Inc. | |
|
1305 Cumberland Ave Ste 225 West Lafayette IN 47906-1343 | |
| (765) 463-5508 | |
| (765) 463-5509 |
| Full Name | Indiana Professional Management Group, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1305 Cumberland Ave Ste 225, West Lafayette, Indiana |
| Authorized Official Name and Position | Karen Theresa Nelson (CONTROLLER) |
| Authorized Official Contact | 7652042157 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Indiana Professional Management Group, Inc. 1305 Cumberland Ave Ste 110 West Lafayette IN 47906-1316 Ph: (888) 281-6531 | Indiana Professional Management Group, Inc. 1305 Cumberland Ave Ste 225 West Lafayette IN 47906-1343 Ph: (765) 463-5508 |
| NPI Number | 1174081590 |
|---|---|
| Provider Enumeration Date | 03/05/2019 |
| Last Update Date | 12/06/2023 |
| Certification Date | 12/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174081590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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