| Bespoke Counseling Services | |
|
54 W Broadway St Ste 3 Shelbyville IN 46176-1267 | |
| (317) 604-9889 | |
| (317) 300-0949 |
| Full Name | Bespoke Counseling Services |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 54 W Broadway St Ste 3, Shelbyville, Indiana |
| Authorized Official Name and Position | Melissa Russell-plunkett (OWNER) |
| Authorized Official Contact | 3176049889 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bespoke Counseling Services 404 Fox Ridge Ct Shelbyville IN 46176-8978 Ph: (317) 604-9889 | Bespoke Counseling Services 54 W Broadway St Ste 3 Shelbyville IN 46176-1267 Ph: (317) 604-9889 |
| NPI Number | 1174193353 |
|---|---|
| Provider Enumeration Date | 06/29/2021 |
| Last Update Date | 07/03/2021 |
| Certification Date | 07/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174193353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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