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3301 W Purdue Ave Muncie IN 47304-6356 | |
| (765) 284-0043 | |
| (765) 284-4112 |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 3301 W Purdue Ave, Muncie, Indiana |
| Authorized Official Name and Position | Meredith Boatwright (OWNER) |
| Authorized Official Contact | 7652840043 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
3301 W Purdue Ave Muncie IN 47304-6356 Ph: (765) 284-0043 | 3301 W Purdue Ave Muncie IN 47304-6356 Ph: (765) 284-0043 |
| NPI Number | 1730116187 |
|---|---|
| Provider Enumeration Date | 06/28/2006 |
| Last Update Date | 01/14/2024 |
| Certification Date | 01/14/2024 |
| Medicare PECOS PAC ID | 3476928060 |
|---|---|
| Medicare Enrollment ID | O20230413000493 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730116187 | NPI | - | NPPES |
| 740738000 | Other | IN | MAGELLAN HEALTH SERVICES |
| Provider Name | Jodi L Nixon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417953670 PECOS PAC ID: 2567415789 Enrollment ID: I20050301000116 |
| Provider Name | Robin M Lett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992736136 PECOS PAC ID: 6204832249 Enrollment ID: I20061016000170 |
| Provider Name | George A Gaither |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174930499 PECOS PAC ID: 9436476280 Enrollment ID: I20150316002531 |
| Provider Name | Ashley L Boester-dean |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457848459 PECOS PAC ID: 2860748258 Enrollment ID: I20180627000396 |
| Provider Name | William R Betts |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245780584 PECOS PAC ID: 3971848854 Enrollment ID: I20181220002791 |
| Provider Name | Brian Hart |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235516667 PECOS PAC ID: 3274977533 Enrollment ID: I20240215000633 |
| Provider Name | Kathryn Dickey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912783093 PECOS PAC ID: 2466897095 Enrollment ID: I20240305001550 |
| Provider Name | Annella Dixon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316348402 PECOS PAC ID: 6507206547 Enrollment ID: I20240424003391 |
| Provider Name | Meredith C Boatwright |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144779174 PECOS PAC ID: 4385019975 Enrollment ID: I20240702003070 |
Center For Psychological Development, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 526 N Martin Ave, Muncie, IN 47303 Phone: 765-287-1922 | |
Freedom Work Counseling And Consulting Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 114 E Washington St, Muncie, IN 47305 Phone: 765-273-3224 | |
Patrick M. Moore, Acsw, Lcsw, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1945 W Royale Dr, Muncie, IN 47304 Phone: 765-288-7939 Fax: 765-288-7841 | |
Family Harmony Health Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 920 S Ribble Ave, Muncie, IN 47302 Phone: 765-256-1747 | |
Melissa Osner Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1945 W Royale Dr, Muncie, IN 47304 Phone: 765-288-7939 | |
Brave Enough, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3001 N Kent Dr, Muncie, IN 47304 Phone: 765-744-3322 |