Verg Life Llc | |
11060 E Division Rd Knox IN 46534-8733 | |
(219) 707-8523 | |
(219) 707-8523 |
Full Name | Verg Life Llc |
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Speciality | Social Worker - Clinical |
Location | 11060 E Division Rd, Knox, Indiana |
Authorized Official Name and Position | Amye Renee Gourley (OWNER/CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 2197078523 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Verg Life Llc 11060 E Division Rd Knox IN 46534-8733 Ph: (219) 707-8523 | Verg Life Llc 11060 E Division Rd Knox IN 46534-8733 Ph: (219) 707-8523 |
NPI Number | 1598452070 |
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Provider Enumeration Date | 04/24/2023 |
Last Update Date | 07/08/2024 |
Certification Date | 07/08/2024 |
Identifier | Type | State | Issuer |
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1598452070 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |