| Lps Behavioral Health Llc | |
|
3630 Meadows Dr Martinsville IN 46151-9450 | |
| (765) 318-1225 | |
| (800) 596-3681 |
| Full Name | Lps Behavioral Health Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3630 Meadows Dr, Martinsville, Indiana |
| Authorized Official Name and Position | Beth Ann Robison (OFFICE MANAGER) |
| Authorized Official Contact | 7653181225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lps Behavioral Health Llc 3630 Meadows Dr Martinsville IN 46151-9450 Ph: (765) 318-1225 | Lps Behavioral Health Llc 3630 Meadows Dr Martinsville IN 46151-9450 Ph: (765) 318-1225 |
| NPI Number | 1811272867 |
|---|---|
| Provider Enumeration Date | 10/20/2011 |
| Last Update Date | 11/01/2011 |
| Medicare PECOS PAC ID | 4486821154 |
|---|---|
| Medicare Enrollment ID | O20120120000250 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811272867 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 20040289 (Indiana) | Primary |
| Provider Name | Floyd F Robison |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194707000 PECOS PAC ID: 4688750771 Enrollment ID: I20080606000262 |
| Provider Name | Shemecia Forthner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457806465 PECOS PAC ID: 6709174469 Enrollment ID: I20161012001073 |
| Provider Name | Thomas Charles Harmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619645330 PECOS PAC ID: 9830563352 Enrollment ID: I20230324001287 |
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