| Lifecourse Care Pc | |
|
38 W Main St Carmel IN 46032-1764 | |
| (225) 241-2594 | |
| Not Available |
| Full Name | Lifecourse Care Pc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 38 W Main St, Carmel, Indiana |
| Authorized Official Name and Position | Tamara B Samson (VP REVENUE CYCLE) |
| Authorized Official Contact | 2252412594 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifecourse Care Pc 38 W Main St Carmel IN 46032-1764 Ph: (225) 241-2594 | Lifecourse Care Pc 38 W Main St Carmel IN 46032-1764 Ph: (225) 241-2594 |
| NPI Number | 1760210942 |
|---|---|
| Provider Enumeration Date | 07/22/2024 |
| Last Update Date | 08/07/2024 |
| Certification Date | 07/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760210942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
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