| Redwood Trauma & Christian Counseling | |
|
8155 Red Bud Ct Newburgh IN 47630-1182 | |
| (812) 202-0953 | |
| Not Available |
| Full Name | Redwood Trauma & Christian Counseling |
|---|---|
| Speciality | Counselor |
| Location | 8155 Red Bud Ct, Newburgh, Indiana |
| Authorized Official Name and Position | Jeneva Carron (OWNER) |
| Authorized Official Contact | 8122020953 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Redwood Trauma & Christian Counseling 8155 Red Bud Ct Newburgh IN 47630-1182 Ph: () - | Redwood Trauma & Christian Counseling 8155 Red Bud Ct Newburgh IN 47630-1182 Ph: (812) 202-0953 |
| NPI Number | 1619711397 |
|---|---|
| Provider Enumeration Date | 06/19/2024 |
| Last Update Date | 06/19/2024 |
| Certification Date | 06/19/2024 |
| Medicare PECOS PAC ID | 9032655113 |
|---|---|
| Medicare Enrollment ID | O20240725000285 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619711397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Jeneva Carron |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033496260 PECOS PAC ID: 0941746028 Enrollment ID: I20240725000326 |
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