| Michelle Boren, LMHC, LCAC | |
|
316 Lincolnway, La Porte, IN 46350 | |
| (219) 707-0178 | |
| (219) 325-0855 |
| Full Name | Michelle Boren |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 316 Lincolnway, La Porte, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861667636 | NPI | - | NPPES |
| 100163580 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 87000643A (Indiana) | Secondary |
| 101YM0800X | Counselor - Mental Health | 39001957A (Indiana) | Primary |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220510002320 |
| Entity Name | Brightside Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073072658 PECOS PAC ID: 9234525098 Enrollment ID: O20230615001392 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Boren, LMHC, LCAC 316 Lincolnway, La Porte, IN 46350 Ph: (219) 707-0178 | Michelle Boren, LMHC, LCAC 316 Lincolnway, La Porte, IN 46350 Ph: (219) 707-0178 |
Belinda C Witherow, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1501 State St, La Porte, IN 46350 Phone: 219-362-5000 Fax: 219-362-5005 | |
Diane Apostoloff, Counselor Medicare: Not Enrolled in Medicare Practice Location: 424 Perry St, La Porte, IN 46350 Phone: 219-809-0333 Fax: 219-531-0859 | |
Mrs. Deana Sherbondy, MA, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 809 Jefferson Ave, La Porte, IN 46350 Phone: 219-898-5646 | |
Denise Ndukwu, LMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 910 Michigan Ave, La Porte, IN 46350 Phone: 219-229-0109 | |
Susan Lenig, LMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 804 Monroe St, La Porte, IN 46350 Phone: 219-229-0109 | |
Valerie Weber, MA, LMHC Counselor Medicare: Accepting Medicare Assignments Practice Location: 804 Monroe St, La Porte, IN 46350 Phone: 219-229-0109 | |
Amanda Benson, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 804 Monroe St, La Porte, IN 46350 Phone: 219-229-0109 |