| Carly Lantz Counseling Llc | |
|
313 S 3rd St Goshen IN 46526-3709 | |
| (574) 538-7960 | |
| Not Available |
| Full Name | Carly Lantz Counseling Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 313 S 3rd St, Goshen, Indiana |
| Authorized Official Name and Position | Carly Lantz (LICENSE SOCIAL WORKER) |
| Authorized Official Contact | 5745350880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carly Lantz Counseling Llc 313 S 3rd St Goshen IN 46526-3709 Ph: (574) 538-7960 | Carly Lantz Counseling Llc 313 S 3rd St Goshen IN 46526-3709 Ph: (574) 538-7960 |
| NPI Number | 1013637792 |
|---|---|
| Provider Enumeration Date | 09/01/2022 |
| Last Update Date | 09/01/2022 |
| Certification Date | 09/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013637792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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