| Kindred Ties Therapy, Llc | |
|
3457 Limestone Ln Apt 1733 Columbus IN 47201-8195 | |
| (812) 350-7606 | |
| Not Available |
| Full Name | Kindred Ties Therapy, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3457 Limestone Ln Apt 1733, Columbus, Indiana |
| Authorized Official Name and Position | Chelsea Waxler (OWNER/MEMBER) |
| Authorized Official Contact | 8123507606 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kindred Ties Therapy, Llc 450 Jackson St Unit 1382 Columbus IN 47201-6783 Ph: (812) 350-7606 | Kindred Ties Therapy, Llc 3457 Limestone Ln Apt 1733 Columbus IN 47201-8195 Ph: (812) 350-7606 |
| NPI Number | 1366035826 |
|---|---|
| Provider Enumeration Date | 02/16/2021 |
| Last Update Date | 02/16/2021 |
| Certification Date | 02/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366035826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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