| Rose Wierzba Counseling Llc | |
|
1114 S Halleck St Demotte IN 46310-9701 | |
| (219) 964-3773 | |
| Not Available |
| Full Name | Rose Wierzba Counseling Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1114 S Halleck St, Demotte, Indiana |
| Authorized Official Name and Position | Rose Wierzba (PRESIDENT) |
| Authorized Official Contact | 2199643773 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rose Wierzba Counseling Llc 10421 Whispering Woods Ct Demotte IN 46310-8534 Ph: (219) 964-3773 | Rose Wierzba Counseling Llc 1114 S Halleck St Demotte IN 46310-9701 Ph: (219) 964-3773 |
| NPI Number | 1821414681 |
|---|---|
| Provider Enumeration Date | 03/17/2014 |
| Last Update Date | 03/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821414681 | NPI | - | NPPES |
| 0 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 39002472A (Indiana) | Primary |
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