| The Cottage At 933 Llc | |
|
51728 State Road 933 South Bend IN 46637-1706 | |
| (419) 348-7995 | |
| Not Available |
| Full Name | The Cottage At 933 Llc |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 51728 State Road 933, South Bend, Indiana |
| Authorized Official Name and Position | Andrea Eriks (CEO/THERAPIST) |
| Authorized Official Contact | 4193487995 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Cottage At 933 Llc 51728 State Road 933 South Bend IN 46637-1706 Ph: (419) 348-7995 | The Cottage At 933 Llc 51728 State Road 933 South Bend IN 46637-1706 Ph: (419) 348-7995 |
| NPI Number | 1326602590 |
|---|---|
| Provider Enumeration Date | 04/23/2019 |
| Last Update Date | 04/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326602590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
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