| Positive Pathways | |
|
13295 Illinois St Suite 132 Carmel IN 46032-3019 | |
| (317) 440-4176 | |
| (775) 288-3479 |
| Full Name | Positive Pathways |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 13295 Illinois St, Carmel, Indiana |
| Authorized Official Name and Position | Stephanie Shank (COUNSELOR) |
| Authorized Official Contact | 3174404176 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Positive Pathways 654 Overcup St Westfield IN 46074-5803 Ph: (317) 440-4176 | Positive Pathways 13295 Illinois St Suite 132 Carmel IN 46032-3019 Ph: (317) 440-4176 |
| NPI Number | 1467761296 |
|---|---|
| Provider Enumeration Date | 09/28/2010 |
| Last Update Date | 02/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467761296 | NPI | - | NPPES |
| 201016750A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 39001720A (Indiana) | Primary |
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