| Person Centered Mental Wellness, Llc | |
|
14074 Trade Center Dr Ste 205 Fishers IN 46038-4573 | |
| (317) 779-2947 | |
| (317) 981-1714 |
| Full Name | Person Centered Mental Wellness, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 14074 Trade Center Dr Ste 205, Fishers, Indiana |
| Authorized Official Name and Position | Ronda Owens-dehmer (PMHNP-BC) |
| Authorized Official Contact | 3173589022 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Person Centered Mental Wellness, Llc 14074 Trade Center Dr Ste 205 Fishers IN 46038-4573 Ph: (317) 358-9022 | Person Centered Mental Wellness, Llc 14074 Trade Center Dr Ste 205 Fishers IN 46038-4573 Ph: (317) 779-2947 |
| NPI Number | 1811581879 |
|---|---|
| Provider Enumeration Date | 02/21/2021 |
| Last Update Date | 09/13/2022 |
| Certification Date | 09/13/2022 |
| Medicare PECOS PAC ID | 9739595802 |
|---|---|
| Medicare Enrollment ID | O20210316000442 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811581879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Ronda Owens-dehmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245642024 PECOS PAC ID: 4385860808 Enrollment ID: I20140718000820 |
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