| Effective Therapy Services Llc | |
|
752 N Cherry St Ladoga IN 47954-9350 | |
| (317) 363-8723 | |
| Not Available |
| Full Name | Effective Therapy Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 752 N Cherry St, Ladoga, Indiana |
| Authorized Official Name and Position | Ronald Gardner (MANAGER) |
| Authorized Official Contact | 3173638723 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Effective Therapy Services Llc 227 W Elm St Ladoga IN 47954-7037 Ph: (317) 363-8723 | Effective Therapy Services Llc 752 N Cherry St Ladoga IN 47954-9350 Ph: (317) 363-8723 |
| NPI Number | 1659984060 |
|---|---|
| Provider Enumeration Date | 08/25/2020 |
| Last Update Date | 08/25/2020 |
| Certification Date | 08/25/2020 |
| Medicare PECOS PAC ID | 8820529738 |
|---|---|
| Medicare Enrollment ID | O20241002003807 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659984060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Ronald Gardner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366897076 PECOS PAC ID: 0648701557 Enrollment ID: I20241002003910 |
Shades Of Recovery Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 S Washington St, Ladoga, IN 47954 Phone: 765-577-0966 |