| Myhl/btwt | |
|
2314 Miami St South Bend IN 46614-1336 | |
| (574) 533-1234 | |
| (574) 375-4165 |
| Full Name | Myhl/btwt |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2314 Miami St, South Bend, Indiana |
| Authorized Official Name and Position | Lisa A Levin (OWNER/THERAPIST) |
| Authorized Official Contact | 7431351374 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Myhl/btwt 733 E Victoria St South Bend IN 46614-1246 Ph: (574) 313-1374 | Myhl/btwt 2314 Miami St South Bend IN 46614-1336 Ph: (574) 533-1234 |
| NPI Number | 1215768635 |
|---|---|
| Provider Enumeration Date | 08/08/2024 |
| Last Update Date | 08/08/2024 |
| Certification Date | 08/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215768635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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