| Winston Rayburn Counseling Services, Llc | |
|
1005 Campbell Street Valparaiso IN 46385 | |
| (219) 386-3083 | |
| Not Available |
| Full Name | Winston Rayburn Counseling Services, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1005 Campbell Street, Valparaiso, Indiana |
| Authorized Official Name and Position | Suzette Sorrells (OWNER / EXECUTIVE DIRECTOR / ADMINI) |
| Authorized Official Contact | 2193863083 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Winston Rayburn Counseling Services, Llc Po Box 1611 Valparaiso IN 46384-1611 Ph: (219) 386-3083 | Winston Rayburn Counseling Services, Llc 1005 Campbell Street Valparaiso IN 46385 Ph: (219) 386-3083 |
| NPI Number | 1598420473 |
|---|---|
| Provider Enumeration Date | 11/04/2021 |
| Last Update Date | 10/03/2024 |
| Certification Date | 10/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598420473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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