| Just Breathe Counseling | |
|
517 Franklin St # 104 Michigan City IN 46360 | |
| (219) 545-2972 | |
| (219) 728-1485 |
| Full Name | Just Breathe Counseling |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 517 Franklin St # 104, Michigan City, Indiana |
| Authorized Official Name and Position | Rhonda Lynn Underwood (OWNER/COUNSELOR) |
| Authorized Official Contact | 2195452972 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Just Breathe Counseling 517 Franklin St # 104 Michigan City IN 46360-3328 Ph: (219) 545-2972 | Just Breathe Counseling 517 Franklin St # 104 Michigan City IN 46360 Ph: (219) 545-2972 |
| NPI Number | 1134699317 |
|---|---|
| Provider Enumeration Date | 11/29/2018 |
| Last Update Date | 07/18/2019 |
| Medicare PECOS PAC ID | 5496104606 |
|---|---|
| Medicare Enrollment ID | O20231213003199 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134699317 | NPI | - | NPPES |
| 39002765A | Other | IN | INDIANA PROFESSIONAL LICENSING AGENCY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Rhonda Lynn Underwood |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205207750 PECOS PAC ID: 7113376328 Enrollment ID: I20231213003310 |
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