| Progression Counseling Services, Llc | |
|
5200 Washington Ave Ste D Evansville IN 47715-4863 | |
| (823) 437-1700 | |
| Not Available |
| Full Name | Progression Counseling Services, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5200 Washington Ave Ste D, Evansville, Indiana |
| Authorized Official Name and Position | David T Nellis (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 8127743970 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Progression Counseling Services, Llc 5200 Washington Ave Ste D Evansville IN 47715-4863 Ph: (823) 437-1700 | Progression Counseling Services, Llc 5200 Washington Ave Ste D Evansville IN 47715-4863 Ph: (823) 437-1700 |
| NPI Number | 1578109344 |
|---|---|
| Provider Enumeration Date | 11/26/2019 |
| Last Update Date | 11/26/2019 |
| Medicare PECOS PAC ID | 6204261712 |
|---|---|
| Medicare Enrollment ID | O20200110000459 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578109344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | David Taylor Nellis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255716395 PECOS PAC ID: 5597028050 Enrollment ID: I20180416000002 |
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