| Deborah Kriegel Llc | |
|
2410 Grape Rd Ste 1 Mishawaka IN 46545-3015 | |
| (574) 243-9370 | |
| (574) 243-9375 |
| Full Name | Deborah Kriegel Llc |
|---|---|
| Speciality | Counselor |
| Location | 2410 Grape Rd Ste 1, Mishawaka, Indiana |
| Authorized Official Name and Position | Deborah Kriegel (CEO) |
| Authorized Official Contact | 5745149646 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deborah Kriegel Llc 2410 Grape Rd Ste 1 Mishawaka IN 46545-3015 Ph: (574) 243-9370 | Deborah Kriegel Llc 2410 Grape Rd Ste 1 Mishawaka IN 46545-3015 Ph: (574) 243-9370 |
| NPI Number | 1073183315 |
|---|---|
| Provider Enumeration Date | 06/29/2021 |
| Last Update Date | 06/29/2021 |
| Certification Date | 06/29/2021 |
| Medicare PECOS PAC ID | 8729518576 |
|---|---|
| Medicare Enrollment ID | O20250207002653 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073183315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Deborah K Kriegel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871581793 PECOS PAC ID: 4284522335 Enrollment ID: I20250207002811 |
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