| Charles R Faenza, LMHC | |
|
1409 E 84th Pl, Merrillville, IN 46410-6451 | |
| (219) 794-2000 | |
| (219) 794-2010 |
| Full Name | Charles R Faenza |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 1409 E 84th Pl, Merrillville, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982974903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 86000141A (Indiana) | Secondary |
| 101YM0800X | Counselor - Mental Health | 39001529A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Charles R Faenza, LMHC 8400 Louisiana St, Merrillville, IN 46410-6385 Ph: (219) 757-1928 | Charles R Faenza, LMHC 1409 E 84th Pl, Merrillville, IN 46410-6451 Ph: (219) 794-2000 |
Mary Sullivan, BLS Counselor Medicare: Not Enrolled in Medicare Practice Location: 8555 Taft St, Merrillville, IN 46410 Phone: 219-769-4005 | |
Sandra Demos Kelley, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8300 Broadway, F1, Merrillville, IN 46410 Phone: 219-736-1000 Fax: 219-736-9699 | |
Vanessa Qualls, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 521 E 86th Ave, Merrillville, IN 46410 Phone: 219-323-3311 | |
Tara Robin Durant, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8200 Georgia St, Merrillville, IN 46410 Phone: 219-791-1400 Fax: 219-791-1422 | |
Monika Marie Segally, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8555 Taft St, Merrillville, IN 46410 Phone: 219-769-4005 | |
Melissa Sanchez, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 8555 Taft St, Merrillville, IN 46410 Phone: 219-769-4005 | |
Jason Herr, LMHC, CP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1409 E 84th Pl, Merrillville, IN 46410 Phone: 219-794-2000 Fax: 219-794-2010 |