Midwest Therapy Collective, Llc | |
7043 Coppice Ln Apt 7207 Whitestown IN 46075-9042 | |
(317) 324-8415 | |
Not Available |
Full Name | Midwest Therapy Collective, Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 7043 Coppice Ln Apt 7207, Whitestown, Indiana |
Authorized Official Name and Position | Samantha Jo James (FOUNDER) |
Authorized Official Contact | 4146302011 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Midwest Therapy Collective, Llc 49 Boone Vlg Ste 103 Zionsville IN 46077-1231 Ph: (317) 324-8415 | Midwest Therapy Collective, Llc 7043 Coppice Ln Apt 7207 Whitestown IN 46075-9042 Ph: (317) 324-8415 |
NPI Number | 1407549884 |
---|---|
Provider Enumeration Date | 05/31/2023 |
Last Update Date | 05/31/2023 |
Certification Date | 05/31/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407549884 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |