| Michiana Counseling Services Inc | |
|
3130 S 11th St Niles MI 49120-4736 | |
| (574) 277-4985 | |
| Not Available |
| Full Name | Michiana Counseling Services Inc |
|---|---|
| Speciality | Psychologist |
| Location | 3130 S 11th St, Niles, Michigan |
| Authorized Official Name and Position | Mary L Digangi (OWNER) |
| Authorized Official Contact | 5742774985 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michiana Counseling Services Inc 3130 S 11th St Niles MI 49120-4736 Ph: (574) 277-4985 | Michiana Counseling Services Inc 3130 S 11th St Niles MI 49120-4736 Ph: (574) 277-4985 |
| NPI Number | 1952603631 |
|---|---|
| Provider Enumeration Date | 12/01/2010 |
| Last Update Date | 08/16/2024 |
| Certification Date | 08/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952603631 | NPI | - | NPPES |
| 0A14526 | Other | MI | BLUE CROSS MICHIGAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | MF008148 (Michigan) | Primary |
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