| Shady Grove Behavioral Health, Llc | |
|
3786 Harrison Crossing Ln Greenwood IN 46142-7616 | |
| (317) 709-3402 | |
| Not Available |
| Full Name | Shady Grove Behavioral Health, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3786 Harrison Crossing Ln, Greenwood, Indiana |
| Authorized Official Name and Position | Candice Due (LICENSED MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 3177093402 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shady Grove Behavioral Health, Llc 3786 Harrison Crossing Ln Greenwood IN 46142-7616 Ph: () - | Shady Grove Behavioral Health, Llc 3786 Harrison Crossing Ln Greenwood IN 46142-7616 Ph: (317) 709-3402 |
| NPI Number | 1265965859 |
|---|---|
| Provider Enumeration Date | 04/10/2017 |
| Last Update Date | 04/10/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265965859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 39003025A (Indiana) | Primary |
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