| Samaritan Family Health And Counseling Center, Inc. | |
|
17195 Cleveland Rd South Bend IN 46635-1415 | |
| (574) 277-0274 | |
| (574) 271-7202 |
| Full Name | Samaritan Family Health And Counseling Center, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 17195 Cleveland Rd, South Bend, Indiana |
| Authorized Official Name and Position | Marie Blunt (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5742770274 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Samaritan Family Health And Counseling Center, Inc. 17195 Cleveland Rd South Bend IN 46635-1415 Ph: (574) 277-0274 | Samaritan Family Health And Counseling Center, Inc. 17195 Cleveland Rd South Bend IN 46635-1415 Ph: (574) 277-0274 |
| NPI Number | 1861721136 |
|---|---|
| Provider Enumeration Date | 12/16/2009 |
| Last Update Date | 12/16/2009 |
| Medicare PECOS PAC ID | 4587830807 |
|---|---|
| Medicare Enrollment ID | O20120106000751 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861721136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Auna L Preston |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376611137 PECOS PAC ID: 8022261874 Enrollment ID: I20130104000103 |
| Provider Name | Cheri Littlefield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710209697 PECOS PAC ID: 1254559065 Enrollment ID: I20140820000186 |
| Provider Name | Kimberly Delcourt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285933812 PECOS PAC ID: 1052689767 Enrollment ID: I20170622000103 |
| Provider Name | Michele K Bowen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346352044 PECOS PAC ID: 9234230194 Enrollment ID: I20180502001636 |
| Provider Name | Grace S Siekman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710410956 PECOS PAC ID: 0042572794 Enrollment ID: I20200208000217 |
| Provider Name | Jessica Peachey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386070266 PECOS PAC ID: 2365887908 Enrollment ID: I20240305001968 |
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