| Indiana Center For Recovery Outpatient Services Llc | |
|
1578 E 85th Ave Merrillville IN 46410-8900 | |
| (561) 305-0461 | |
| Not Available |
| Full Name | Indiana Center For Recovery Outpatient Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1578 E 85th Ave, Merrillville, Indiana |
| Authorized Official Name and Position | Kirill Vesselov (PRESIDENT) |
| Authorized Official Contact | 5613050461 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Indiana Center For Recovery Outpatient Services Llc 2925 10th Ave N Palm Springs FL 33461-3000 Ph: (561) 305-0461 | Indiana Center For Recovery Outpatient Services Llc 1578 E 85th Ave Merrillville IN 46410-8900 Ph: (561) 305-0461 |
| NPI Number | 1093412793 |
|---|---|
| Provider Enumeration Date | 02/13/2023 |
| Last Update Date | 12/14/2023 |
| Certification Date | 12/14/2023 |
| Medicare PECOS PAC ID | 3173966363 |
|---|---|
| Medicare Enrollment ID | O20240205001766 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093412793 | NPI | - | NPPES |
| Provider Name | Michael W Kane |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497891840 PECOS PAC ID: 1557259256 Enrollment ID: I20040305000069 |
| Provider Name | Jacqueline M Daniels |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205910239 PECOS PAC ID: 8123158300 Enrollment ID: I20100615000206 |
| Provider Name | Dawn Marie Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467936070 PECOS PAC ID: 2163767344 Enrollment ID: I20181215000606 |
| Provider Name | Hayley J Dorsett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740930726 PECOS PAC ID: 3476993718 Enrollment ID: I20240502003714 |
| Provider Name | Yfat Aronov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255057766 PECOS PAC ID: 4082147160 Enrollment ID: I20241028003003 |
Stephen & Associates, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7863 Broadway Ste 115, Merrillville, IN 46410 Phone: 219-613-9050 Fax: 219-794-1226 | |
Lightbulb Learning Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 273 E 68th Ave, Merrillville, IN 46410 Phone: 219-576-2662 | |
Human Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6111 Harrison St, Merrillville, IN 46410 Phone: 708-754-8815 Fax: 708-798-1315 | |
Addiction And Behavioral Counseling Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7805 Taft St, Suite E, Merrillville, IN 46410 Phone: 219-756-3791 Fax: 219-756-3793 | |
Marilyn's W.a.r.c. (wellness And Recovery Center), L.l.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 W 80th Pl, Merrillville, IN 46410 Phone: 219-803-1724 | |
Naughgle Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1465 E 84th Pl, Merrillville, IN 46410 Phone: 219-267-0495 Fax: 219-525-4337 | |
Mmr Consulting, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3903 E Lincoln Hwy, Merrillville, IN 46410 Phone: 219-940-9466 Fax: 219-940-3429 |