| Passionate Behavioral Health Services Llc | |
|
2346 S Lynhurst Dr Ste E201n Indianapolis IN 46241-8625 | |
| (317) 258-7119 | |
| Not Available |
| Full Name | Passionate Behavioral Health Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2346 S Lynhurst Dr Ste E201n, Indianapolis, Indiana |
| Authorized Official Name and Position | Taiwo Sowunmi (PROVIDER) |
| Authorized Official Contact | 3172587119 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Passionate Behavioral Health Services Llc 2346 S Lynhurst Dr Ste E201n Indianapolis IN 46241-8625 Ph: (317) 258-7119 | Passionate Behavioral Health Services Llc 2346 S Lynhurst Dr Ste E201n Indianapolis IN 46241-8625 Ph: (317) 258-7119 |
| NPI Number | 1124868351 |
|---|---|
| Provider Enumeration Date | 05/27/2024 |
| Last Update Date | 05/27/2024 |
| Certification Date | 05/27/2024 |
| Medicare PECOS PAC ID | 2668910092 |
|---|---|
| Medicare Enrollment ID | O20240816002234 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124868351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Taiwo K Sowunmi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013626829 PECOS PAC ID: 6901072263 Enrollment ID: I20230117000330 |
Indiana Behavior Analysis Academy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2417 Baur Dr, Indianapolis, IN 46220 Phone: 317-414-2147 | |
Smarty Pants Daycare Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5355 N Post Rd, Indianapolis, IN 46216 Phone: 317-993-2439 | |
Hns Consulting Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4954 E 56th St Ste 14, Indianapolis, IN 46220 Phone: 317-640-6997 | |
Brain Performance Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3003 E. 98th Street, Suite # 107, Indianapolis, IN 46280 Phone: 463-273-2093 Fax: 317-672-1971 | |
Counseling Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 931 E 86th St, Ste. 101, Indianapolis, IN 46240 Phone: 317-466-1516 |