Youth Service Bureau | |
734 W Delaware St Suite 206 Evansville IN 47710-1667 | |
(812) 423-5816 | |
(812) 423-5294 |
Full Name | Youth Service Bureau |
---|---|
Speciality | Counselor |
Location | 734 W Delaware St, Evansville, Indiana |
Authorized Official Name and Position | Timothy B. Tharp (DIRECTOR) |
Authorized Official Contact | 8124235816 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Youth Service Bureau 734 W Delaware St Suite 206 Evansville IN 47710-1667 Ph: (812) 423-5816 | Youth Service Bureau 734 W Delaware St Suite 206 Evansville IN 47710-1667 Ph: (812) 423-5816 |
NPI Number | 1144542127 |
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Provider Enumeration Date | 02/18/2010 |
Last Update Date | 02/18/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144542127 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 39002097A (Indiana) | Primary |
101YM0800X | Counselor - Mental Health | 39002097A (Indiana) | Secondary |
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