| Lsg Counseling Llc | |
|
317 S Eddy St South Bend IN 46617-3201 | |
| (574) 304-1804 | |
| Not Available |
| Full Name | Lsg Counseling Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 317 S Eddy St, South Bend, Indiana |
| Authorized Official Name and Position | Leslee Gage (LCSW) |
| Authorized Official Contact | 5743041804 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lsg Counseling Llc 317 S Eddy St South Bend IN 46617-3201 Ph: (574) 304-1804 | Lsg Counseling Llc 317 S Eddy St South Bend IN 46617-3201 Ph: (574) 304-1804 |
| NPI Number | 1609685049 |
|---|---|
| Provider Enumeration Date | 12/31/2024 |
| Last Update Date | 12/31/2024 |
| Certification Date | 12/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609685049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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