Psychiatric Help And Hope Llc | |
136 W 500 S Anderson IN 46013-5402 | |
(765) 617-1595 | |
(317) 733-9956 |
Full Name | Psychiatric Help And Hope Llc |
---|---|
Speciality | Nurse Practitioner |
Location | 136 W 500 S, Anderson, Indiana |
Authorized Official Name and Position | Della Busby (OWNER) |
Authorized Official Contact | 7656171595 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Psychiatric Help And Hope Llc 136 W 500 S Anderson IN 46013-5402 Ph: (765) 617-1595 | Psychiatric Help And Hope Llc 136 W 500 S Anderson IN 46013-5402 Ph: (765) 617-1595 |
NPI Number | 1871275818 |
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Provider Enumeration Date | 08/01/2023 |
Last Update Date | 08/01/2023 |
Certification Date | 08/01/2023 |
Medicare PECOS PAC ID | 4082073077 |
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Medicare Enrollment ID | O20230710000683 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871275818 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
Provider Name | Della J Busby |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215039144 PECOS PAC ID: 0446211726 Enrollment ID: I20130114000416 |
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