| Olisha Mafu Lcsw Counseling And Counsultation Llc | |
|
7712 Bolero Drive Camby IN 46113 | |
| (574) 315-1599 | |
| Not Available |
| Full Name | Olisha Mafu Lcsw Counseling And Counsultation Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 7712 Bolero Drive, Camby, Indiana |
| Authorized Official Name and Position | Olisha Calvette Mafu (OWNER/CEO) |
| Authorized Official Contact | 5743151599 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Olisha Mafu Lcsw Counseling And Counsultation Llc 8063 Madison Ave # 1193 Indianapolis IN 46227-6001 Ph: () - | Olisha Mafu Lcsw Counseling And Counsultation Llc 7712 Bolero Drive Camby IN 46113 Ph: (574) 315-1599 |
| NPI Number | 1861072308 |
|---|---|
| Provider Enumeration Date | 04/09/2021 |
| Last Update Date | 04/09/2021 |
| Certification Date | 03/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861072308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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