| Innisfree Counseling Llc | |
|
25 Executive Dr Ste G Lafayette IN 47905-4880 | |
| (765) 237-2231 | |
| (765) 637-7860 |
| Full Name | Innisfree Counseling Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 25 Executive Dr Ste G, Lafayette, Indiana |
| Authorized Official Name and Position | Tiffanie M Desmangles (OWNER) |
| Authorized Official Contact | 7652372231 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innisfree Counseling Llc 3011 Carriage Rd West Lafayette IN 47906-5269 Ph: (765) 237-2231 | Innisfree Counseling Llc 25 Executive Dr Ste G Lafayette IN 47905-4880 Ph: (765) 237-2231 |
| NPI Number | 1164136719 |
|---|---|
| Provider Enumeration Date | 01/09/2023 |
| Last Update Date | 01/09/2023 |
| Certification Date | 01/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164136719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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