| Peter Desmangles Counseling Llc | |
|
25 Executive Dr Ste G Lafayette IN 47905-4880 | |
| (765) 337-7757 | |
| Not Available |
| Full Name | Peter Desmangles Counseling Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 25 Executive Dr Ste G, Lafayette, Indiana |
| Authorized Official Name and Position | Peter Desmangles (MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 7655868155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter Desmangles Counseling Llc 25 Executive Dr Ste G Lafayette IN 47905-4880 Ph: (765) 337-7757 | Peter Desmangles Counseling Llc 25 Executive Dr Ste G Lafayette IN 47905-4880 Ph: (765) 337-7757 |
| NPI Number | 1891573713 |
|---|---|
| Provider Enumeration Date | 09/20/2023 |
| Last Update Date | 09/20/2023 |
| Certification Date | 09/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891573713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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