| Exhale Counseling Llc | |
|
2801 E Bristol St Elkhart IN 46514-4386 | |
| (574) 202-7049 | |
| Not Available |
| Full Name | Exhale Counseling Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2801 E Bristol St, Elkhart, Indiana |
| Authorized Official Name and Position | Patrick Kennedy (PRESIDENT) |
| Authorized Official Contact | 5745645350 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Exhale Counseling Llc 54273 Blair Ct Elkhart IN 46514-4945 Ph: (574) 606-9909 | Exhale Counseling Llc 2801 E Bristol St Elkhart IN 46514-4386 Ph: (574) 202-7049 |
| NPI Number | 1689387839 |
|---|---|
| Provider Enumeration Date | 01/03/2023 |
| Last Update Date | 01/27/2023 |
| Certification Date | 01/27/2023 |
| Medicare PECOS PAC ID | 0749626836 |
|---|---|
| Medicare Enrollment ID | O20240312000853 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689387839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Patrick Alan Kennedy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679247746 PECOS PAC ID: 1658717749 Enrollment ID: I20240312001854 |
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