| Paige Maddex & Associates Llc | |
|
5 Lincolnway Ste 2 Valparaiso IN 46383-6722 | |
| (219) 252-4298 | |
| Not Available |
| Full Name | Paige Maddex & Associates Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5 Lincolnway Ste 2, Valparaiso, Indiana |
| Authorized Official Name and Position | Michael Alan Weaver (CEO) |
| Authorized Official Contact | 2192415663 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paige Maddex & Associates Llc 1481 Lobwedge Ln Chesterton IN 46304-9171 Ph: (219) 252-4298 | Paige Maddex & Associates Llc 5 Lincolnway Ste 2 Valparaiso IN 46383-6722 Ph: (219) 252-4298 |
| NPI Number | 1255012506 |
|---|---|
| Provider Enumeration Date | 07/28/2023 |
| Last Update Date | 04/19/2024 |
| Certification Date | 04/19/2024 |
| Medicare PECOS PAC ID | 2062863004 |
|---|---|
| Medicare Enrollment ID | O20240104000301 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255012506 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| Provider Name | Stephanie P Maddex |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265657514 PECOS PAC ID: 7416368238 Enrollment ID: I20201228001934 |
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