| Green House And Associates Inc | |
|
6246 W Broadway # 200 Mccordsville IN 46055 | |
| (317) 253-7387 | |
| (317) 253-7388 |
| Full Name | Green House And Associates Inc |
|---|---|
| Speciality | Psychologist |
| Location | 6246 W Broadway # 200, Mccordsville, Indiana |
| Authorized Official Name and Position | Laura A Huddleston (OWNER/PRESIDENT) |
| Authorized Official Contact | 3172537387 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Green House And Associates Inc Po Box 361327 Indianapolis IN 46236-1327 Ph: (317) 253-7387 | Green House And Associates Inc 6246 W Broadway # 200 Mccordsville IN 46055 Ph: (317) 253-7387 |
| NPI Number | 1558316463 |
|---|---|
| Provider Enumeration Date | 05/23/2006 |
| Last Update Date | 01/29/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558316463 | NPI | - | NPPES |
| DA9104 | Other | IN | RAILROAD MEDICARE |
| 000000291010 | Other | IN | BCBS |
| 200427380 A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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