Phoenix Counseling Services, Incorporated

NPI 1023101763 - Counselor - 101YM0800X

NPI Details
NPI 1023101763
Enumeration Date 10/02/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name PATRICIA A. PATRICIA
Position PRESIDENT
Phone (574) 276-8143
Fax (574) 273-2477
Practice Location
425 PARK PLACE CIRCLE
SUITE 150
MISHAWAKA IN, 46545, US
Phone (574) 276-8143
Fax (574) 273-2477
Business Location
P.O. BOX 1137
SOUTH BEND IN, 46624, US
Phone (574) 276-8143
Fax (574) 273-2477
Toxanomy
Taxonomy Code 101YM0800X
License State Indiana
License Number 34003645A
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According to our database, Phoenix Counseling Services, Incorporated NPI is 1023101763, taxonomy code is 101YM0800X and license number is 34003645A, license state is located at Indiana. Phoenix Counseling Services, Incorporated physically located at 425 Park Place Circle, Mishawaka IN, 46545. NPI Number 1033115704 has the healthcare provider type.

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1023101763 NPI number is provided on an as is basis without warranty of any kind. 1023101763 is maintained by the National Plan & Provider Enumeration System. The contents of Phoenix Counseling Services, Incorporated are for informational purposes only.