| Sugar Creek Counseling Llc | |
|
600 E Carmel Dr Ste 108 Carmel IN 46032-3003 | |
| (317) 523-7431 | |
| Not Available |
| Full Name | Sugar Creek Counseling Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 600 E Carmel Dr Ste 108, Carmel, Indiana |
| Authorized Official Name and Position | Sarah K Glass (OWNER) |
| Authorized Official Contact | 3175237431 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sugar Creek Counseling Llc 600 E Carmel Dr Ste 108 Carmel IN 46032-3003 Ph: (317) 523-7431 | Sugar Creek Counseling Llc 600 E Carmel Dr Ste 108 Carmel IN 46032-3003 Ph: (317) 523-7431 |
| NPI Number | 1649773102 |
|---|---|
| Provider Enumeration Date | 03/12/2018 |
| Last Update Date | 10/28/2020 |
| Certification Date | 10/28/2020 |
| Medicare PECOS PAC ID | 0143631846 |
|---|---|
| Medicare Enrollment ID | O20201202000734 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649773102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Randall Patee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386754018 PECOS PAC ID: 3577791383 Enrollment ID: I20140123001921 |
| Provider Name | Christine K Dragoo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255784906 PECOS PAC ID: 2668724758 Enrollment ID: I20181018001318 |
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