| Little Green Thumbs Aba Llc | |
|
833 S Halleck St Ste 3 Demotte IN 46310-8342 | |
| (219) 525-7286 | |
| Not Available |
| Full Name | Little Green Thumbs Aba Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 833 S Halleck St Ste 3, Demotte, Indiana |
| Authorized Official Name and Position | Jennifer Humphreys (BOARD CERTIFIED BEHAVIOR ANALYST) |
| Authorized Official Contact | 2195257286 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Little Green Thumbs Aba Llc 833 S Halleck St Ste 3 Demotte IN 46310-8342 Ph: (219) 525-7286 | Little Green Thumbs Aba Llc 833 S Halleck St Ste 3 Demotte IN 46310-8342 Ph: (219) 525-7286 |
| NPI Number | 1659031797 |
|---|---|
| Provider Enumeration Date | 12/29/2021 |
| Last Update Date | 12/29/2021 |
| Certification Date | 12/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659031797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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