| Sunstone Health & Wellness, Inc. | |
|
1700 W Smith Valley Rd Ste B4 Greenwood IN 46142-1589 | |
| (317) 886-1000 | |
| Not Available |
| Full Name | Sunstone Health & Wellness, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1700 W Smith Valley Rd Ste B4, Greenwood, Indiana |
| Authorized Official Name and Position | Lacey J. Rentschler (OWNER) |
| Authorized Official Contact | 3178861000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunstone Health & Wellness, Inc. 1700 W Smith Valley Rd Ste B4 Greenwood IN 46142-1589 Ph: (317) 886-1000 | Sunstone Health & Wellness, Inc. 1700 W Smith Valley Rd Ste B4 Greenwood IN 46142-1589 Ph: (317) 886-1000 |
| NPI Number | 1275920399 |
|---|---|
| Provider Enumeration Date | 04/16/2015 |
| Last Update Date | 04/16/2015 |
| Medicare PECOS PAC ID | 1355630682 |
|---|---|
| Medicare Enrollment ID | O20160510001081 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275920399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 34006187A (Indiana) | Primary |
| Provider Name | Michelle G Luallen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619399557 PECOS PAC ID: 4789809336 Enrollment ID: I20140723000653 |
| Provider Name | Lacey J Rentschler-miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508253543 PECOS PAC ID: 9234428566 Enrollment ID: I20160510001200 |
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