Mercury Center Inc. | |
896 E Main St Suite 6 Greenwood IN 46143-1440 | |
(317) 881-5050 | |
Not Available |
Full Name | Mercury Center Inc. |
---|---|
Speciality | Social Worker - Clinical |
Location | 896 E Main St, Greenwood, Indiana |
Authorized Official Name and Position | David A. Wilkerson (PRESIDENT) |
Authorized Official Contact | 3178815050 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mercury Center Inc. 896 E Main St Suite 6 Greenwood IN 46143-1440 Ph: (317) 881-5050 | Mercury Center Inc. 896 E Main St Suite 6 Greenwood IN 46143-1440 Ph: (317) 881-5050 |
NPI Number | 1366509085 |
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Provider Enumeration Date | 01/02/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366509085 | NPI | - | NPPES |
06839200 | Other | IN | MAGELLAN |
2200000203363 | Other | IN | ANTHEM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TB0200X | Psychologist - Cognitive & Behavioral | 20040086 (Indiana) | Primary |
1041C0700X | Social Worker - Clinical | 34000809A (Indiana) | Primary |
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