| Generations Counseling Services, Llc | |
|
435 E Main St Ste 200 Greenwood IN 46143-1457 | |
| (317) 743-8202 | |
| (317) 743-8276 |
| Full Name | Generations Counseling Services, Llc |
|---|---|
| Speciality | Counselor |
| Location | 435 E Main St Ste 200, Greenwood, Indiana |
| Authorized Official Name and Position | Joanna Bloss (OWNER) |
| Authorized Official Contact | 3177438202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Generations Counseling Services, Llc 435 E Main St Ste 200 Greenwood IN 46143-1457 Ph: (317) 743-8202 | Generations Counseling Services, Llc 435 E Main St Ste 200 Greenwood IN 46143-1457 Ph: (317) 743-8202 |
| NPI Number | 1821509126 |
|---|---|
| Provider Enumeration Date | 10/13/2017 |
| Last Update Date | 12/12/2022 |
| Certification Date | 12/12/2022 |
| Medicare PECOS PAC ID | 7810376696 |
|---|---|
| Medicare Enrollment ID | O20220624001596 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821509126 | NPI | - | NPPES |
| 1225476443 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180.009611 (Illinois) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Tanya K Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689799033 PECOS PAC ID: 1850560525 Enrollment ID: I20110815000303 |
| Provider Name | Vinnie M Butler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245295070 PECOS PAC ID: 9739452202 Enrollment ID: I20170905001420 |
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