| Diamond Mcclam, | |
|
3729 Bearwood Dr, Indianapolis, IN 46235-3537 | |
| (219) 682-7123 | |
| Not Available |
| Full Name | Diamond Mcclam |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 3729 Bearwood Dr, Indianapolis, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376241935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Entity Name | Cityblock Medical Practice Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588296784 PECOS PAC ID: 0840670592 Enrollment ID: O20220712001279 |
| Mailing Address | Practice Location Address |
|---|---|
| Diamond Mcclam, 3729 Bearwood Dr, Indianapolis, IN 46235-3537 Ph: (219) 682-7123 | Diamond Mcclam, 3729 Bearwood Dr, Indianapolis, IN 46235-3537 Ph: (219) 682-7123 |
Miss Tangela Cameron, B.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2626 E 46th St, Indianapolis, IN 46205 Phone: 317-475-9066 Fax: 317-257-3602 | |
Elizabeth J Malcom, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8401 Harcourt Rd, Indianapolis, IN 46260 Phone: 317-338-4600 Fax: 317-338-4890 | |
Molly Tompkins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2626 E 46th St, Ste J, Indianapolis, IN 46205 Phone: 317-475-9066 | |
Marlene J Villecco, MS, LCAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5638 Professional Cir, Indianapolis, IN 46241 Phone: 888-714-1927 Fax: 317-247-8935 | |
Camishe R Nunley, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5502 East 16th Street, Suite A 31, Indianapolis, IN 46218 Phone: 317-355-1800 | |
Mrs. Unchana Thamasak, M.S Counselor Medicare: Not Enrolled in Medicare Practice Location: 3905 Vincennes Rd, Suite 303, Indianapolis, IN 46268 Phone: 317-471-3522 Fax: 317-471-3508 | |
Mark P Radel, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2011 N Meridian St, Indianapolis, IN 46202 Phone: 317-924-7010 Fax: 317-941-2208 |