Intrigue Counseling, Inc | |
227 N Dixie Way Suite 210 South Bend IN 46637-3385 | |
(574) 234-3515 | |
(574) 234-3565 |
Full Name | Intrigue Counseling, Inc |
---|---|
Speciality | Social Worker |
Location | 227 N Dixie Way, South Bend, Indiana |
Authorized Official Name and Position | Abbee Dallek Smith (DIRECTOR) |
Authorized Official Contact | 5742343515 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Intrigue Counseling, Inc 227 N Dixie Way Suite 210 South Bend IN 46637-3385 Ph: (574) 234-3515 | Intrigue Counseling, Inc 227 N Dixie Way Suite 210 South Bend IN 46637-3385 Ph: (574) 234-3515 |
NPI Number | 1841248754 |
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Provider Enumeration Date | 05/04/2006 |
Last Update Date | 11/06/2014 |
Medicare PECOS PAC ID | 1658345368 |
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Medicare Enrollment ID | O20040907000410 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841248754 | NPI | - | NPPES |
200375890A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 34000672A (Indiana) | Primary |
Provider Name | Abbee D Smith |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1184643280 PECOS PAC ID: 4385532431 Enrollment ID: I20040610001529 |
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