| Southeast Indiana Mental Health Professionals, Llc | |
|
257 E Main St North Vernon IN 47265-1510 | |
| (812) 346-2872 | |
| (812) 346-4172 |
| Full Name | Southeast Indiana Mental Health Professionals, Llc |
|---|---|
| Speciality | Clinical Nurse Specialist |
| Location | 257 E Main St, North Vernon, Indiana |
| Authorized Official Name and Position | Robert Ellsworth Dailey (CEO) |
| Authorized Official Contact | 8123462872 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Indiana Mental Health Professionals, Llc Po Box 475 North Vernon IN 47265-0475 Ph: (812) 346-2872 | Southeast Indiana Mental Health Professionals, Llc 257 E Main St North Vernon IN 47265-1510 Ph: (812) 346-2872 |
| NPI Number | 1528371705 |
|---|---|
| Provider Enumeration Date | 07/16/2010 |
| Last Update Date | 07/16/2010 |
| Medicare PECOS PAC ID | 2062601479 |
|---|---|
| Medicare Enrollment ID | O20110114000625 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528371705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | (* (Not Available)) | Primary |
| Provider Name | Robert Ellsworth Dailey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891807228 PECOS PAC ID: 1850205097 Enrollment ID: I20031113000433 |
| Provider Name | Sharlene C Banks |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1750527271 PECOS PAC ID: 4688701964 Enrollment ID: I20100419000089 |
Melissa R Hunter Lmhc Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 753 North State Street, Suite A, North Vernon, IN 47265 Phone: 812-346-7744 Fax: 812-346-3815 | |
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