| Worsham Counseling Services Llc | |
|
2410 Grape Rd Ste 1 Mishawaka IN 46545-3015 | |
| (574) 243-9370 | |
| Not Available |
| Full Name | Worsham Counseling Services Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2410 Grape Rd Ste 1, Mishawaka, Indiana |
| Authorized Official Name and Position | Alyssa Worsham (LICENSED MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 5742439370 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Worsham Counseling Services Llc 2410 Grape Rd Ste 1 Mishawaka IN 46545-3015 Ph: (574) 243-9370 | Worsham Counseling Services Llc 2410 Grape Rd Ste 1 Mishawaka IN 46545-3015 Ph: (574) 243-9370 |
| NPI Number | 1790547420 |
|---|---|
| Provider Enumeration Date | 01/29/2024 |
| Last Update Date | 11/05/2024 |
| Certification Date | 11/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790547420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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