Inner Sanctum Counseling Llc | |
909 Linway Dr Ste 3 Goshen IN 46526-2435 | |
(574) 285-2078 | |
Not Available |
Full Name | Inner Sanctum Counseling Llc |
---|---|
Speciality | Counselor - Mental Health |
Location | 909 Linway Dr Ste 3, Goshen, Indiana |
Authorized Official Name and Position | Timothy Lagro (OWNER) |
Authorized Official Contact | 6144677481 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Inner Sanctum Counseling Llc 909 Linway Dr Ste 3 Goshen IN 46526-2435 Ph: (574) 285-2078 | Inner Sanctum Counseling Llc 909 Linway Dr Ste 3 Goshen IN 46526-2435 Ph: (574) 285-2078 |
NPI Number | 1316777964 |
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Provider Enumeration Date | 08/07/2024 |
Last Update Date | 08/07/2024 |
Certification Date | 08/07/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316777964 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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