| Maple City Counseling Center | |
|
209 Tanglewood Dr Apt C Goshen IN 46526-1718 | |
| (574) 220-0220 | |
| (574) 975-7788 |
| Full Name | Maple City Counseling Center |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 209 Tanglewood Dr Apt C, Goshen, Indiana |
| Authorized Official Name and Position | Keith Dd Jodway (OWNER) |
| Authorized Official Contact | 5742200220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maple City Counseling Center 209 Tanglewood Dr Apt C Goshen IN 46526-1718 Ph: (574) 220-0220 | Maple City Counseling Center 209 Tanglewood Dr Apt C Goshen IN 46526-1718 Ph: (574) 220-0220 |
| NPI Number | 1558927764 |
|---|---|
| Provider Enumeration Date | 05/13/2019 |
| Last Update Date | 05/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558927764 | NPI | - | NPPES |
| 39001485A | Other | IN | LICENSED MENTAL HEALTH COUNSELOR |
| 87000367A | Other | IN | LICENSED CLINICAL ADDICTION COUNSELOR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Change Architects Llp Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1930 W Lincoln Ave, Goshen, IN 46526 Phone: 574-534-2161 Fax: 574-534-3887 | |
Carly Lantz Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 313 S 3rd St, Goshen, IN 46526 Phone: 574-538-7960 | |
Lauren Boyle Counseling Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1930 W Lincoln Ave, Goshen, IN 46526 Phone: 574-534-2161 Fax: 574-534-3887 | |
Wade Psychological Services Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1930 W Lincoln Ave, Goshen, IN 46526 Phone: 574-534-2161 Fax: 574-534-3887 | |
Shirley Claassen Dick Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1930 W Lincoln Ave, Goshen, IN 46526 Phone: 574-534-2161 | |
Jennifer Miller Counseling, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1930 W Lincoln Ave, Goshen, IN 46526 Phone: 574-534-2161 Fax: 574-534-3887 | |
Carrie Sommer Counseling Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1930 W Lincoln Ave, Goshen, IN 46526 Phone: 574-534-2161 |