The Narrow Gate Llc | |
1008 W Ohio St Rockville IN 47872-1536 | |
(765) 569-5350 | |
(765) 569-5340 |
Full Name | The Narrow Gate Llc |
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Speciality | Psychologist |
Location | 1008 W Ohio St, Rockville, Indiana |
Authorized Official Name and Position | Linda J Hanner (PROVIDER/ADMIN/MEMBER) |
Authorized Official Contact | 7655695350 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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The Narrow Gate Llc 1008 W Ohio St Rockville IN 47872-1536 Ph: (765) 569-5350 | The Narrow Gate Llc 1008 W Ohio St Rockville IN 47872-1536 Ph: (765) 569-5350 |
NPI Number | 1821125055 |
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Provider Enumeration Date | 02/27/2007 |
Last Update Date | 11/07/2024 |
Certification Date | 11/07/2024 |
Medicare PECOS PAC ID | 5496709412 |
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Medicare Enrollment ID | O20050311000344 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821125055 | NPI | - | NPPES |
200904480A | Medicaid | IN | |
224190 | Other | IN | PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 20041104A (Indiana) | Primary |
103TA0400X | Psychologist - Addiction (substance Use Disorder) | 20041104A (Indiana) | Secondary |
Provider Name | Linda Jo Hanner |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1487678728 PECOS PAC ID: 2668426685 Enrollment ID: I20050311000534 |
Provider Name | Jason Joshua Heck |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700327533 PECOS PAC ID: 9436434669 Enrollment ID: I20170330000248 |
Provider Name | Zachery M Milam |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1497159206 PECOS PAC ID: 5193176972 Enrollment ID: I20240105001168 |
Noved Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 S Lazy Ln, Rockville, IN 47872 Phone: 765-366-1895 |