| Lifespring, Inc | |
|
460 Spring St Jeffersonville IN 47130-3452 | |
| (812) 280-2080 | |
| Not Available |
| Full Name | Lifespring, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 460 Spring St, Jeffersonville, Indiana |
| Authorized Official Name and Position | Terry L Stawar (CEO) |
| Authorized Official Contact | 8122802080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifespring, Inc 460 Spring St Jeffersonville IN 47130-3452 Ph: (812) 280-2080 | Lifespring, Inc 460 Spring St Jeffersonville IN 47130-3452 Ph: (812) 280-2080 |
| NPI Number | 1043459894 |
|---|---|
| Provider Enumeration Date | 02/18/2009 |
| Last Update Date | 02/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043459894 | NPI | - | NPPES |
| 200358120 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | IN01043877 (Indiana) | Primary |
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