| Brianna Yoder Counseling PC | |
|
1930 W Lincoln Ave Goshen IN 46526-5907 | |
| (574) 534-2161 | |
| (574) 534-3887 |
| Full Name | Brianna Yoder Counseling PC |
|---|---|
| Speciality | Social Worker |
| Location | 1930 W Lincoln Ave, Goshen, Indiana |
| Authorized Official Name and Position | Brianna Yoder (PRESIDENT) |
| Authorized Official Contact | 5745342161 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brianna Yoder Counseling PC 1930 W Lincoln Ave Goshen IN 46526-5907 Ph: (574) 534-2161 | Brianna Yoder Counseling PC 1930 W Lincoln Ave Goshen IN 46526-5907 Ph: (574) 534-2161 |
| NPI Number | 1255836094 |
|---|---|
| Provider Enumeration Date | 03/26/2018 |
| Last Update Date | 03/26/2018 |
| Medicare PECOS PAC ID | 1658624606 |
|---|---|
| Medicare Enrollment ID | O20181022002452 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255836094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 34005748A (Indiana) | Primary |
| Provider Name | Brianna E Yoder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780755371 PECOS PAC ID: 7315074622 Enrollment ID: I20100419000395 |
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