| Phoenix Counseling Services, Incorporated | |
|
425 Park Place Circle Suite 150 Mishawaka IN 46545 | |
| (574) 276-8143 | |
| (574) 273-2477 |
| Full Name | Phoenix Counseling Services, Incorporated |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 425 Park Place Circle, Mishawaka, Indiana |
| Authorized Official Name and Position | Patricia A. Kuboske (PRESIDENT) |
| Authorized Official Contact | 5742768143 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Counseling Services, Incorporated P.o. Box 1137 South Bend IN 46624 Ph: (574) 276-8143 | Phoenix Counseling Services, Incorporated 425 Park Place Circle Suite 150 Mishawaka IN 46545 Ph: (574) 276-8143 |
| NPI Number | 1023101763 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023101763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 34003645A (Indiana) | Primary |
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