| Goshen City Behavioral Health Llc | |
|
203 N 5th St Goshen IN 46528-3226 | |
| (267) 980-9785 | |
| Not Available |
| Full Name | Goshen City Behavioral Health Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 203 N 5th St, Goshen, Indiana |
| Authorized Official Name and Position | Holli Elizabeth Perrin (PRESIDENT) |
| Authorized Official Contact | 2679808785 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Goshen City Behavioral Health Llc 66208 Grasslands Ln Goshen IN 46526-7323 Ph: (267) 980-9785 | Goshen City Behavioral Health Llc 203 N 5th St Goshen IN 46528-3226 Ph: (267) 980-9785 |
| NPI Number | 1134782626 |
|---|---|
| Provider Enumeration Date | 04/19/2019 |
| Last Update Date | 04/10/2024 |
| Certification Date | 04/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134782626 | NPI | - | NPPES |
| 300027991 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Change Architects Llp Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1930 W Lincoln Ave, Goshen, IN 46526 Phone: 574-534-2161 Fax: 574-534-3887 | |
Carly Lantz Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 313 S 3rd St, Goshen, IN 46526 Phone: 574-538-7960 | |
Lauren Boyle Counseling Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1930 W Lincoln Ave, Goshen, IN 46526 Phone: 574-534-2161 Fax: 574-534-3887 | |
Wade Psychological Services Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1930 W Lincoln Ave, Goshen, IN 46526 Phone: 574-534-2161 Fax: 574-534-3887 | |
Shirley Claassen Dick Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1930 W Lincoln Ave, Goshen, IN 46526 Phone: 574-534-2161 | |
Jennifer Miller Counseling, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1930 W Lincoln Ave, Goshen, IN 46526 Phone: 574-534-2161 Fax: 574-534-3887 | |
Carrie Sommer Counseling Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1930 W Lincoln Ave, Goshen, IN 46526 Phone: 574-534-2161 |