| Kathy Mcindoe LLC | |
|
21531 Waterview Rd Lewes DE 19958-5727 | |
| (240) 206-6064 | |
| Not Available |
| Full Name | Kathy Mcindoe LLC |
|---|---|
| Speciality | Counselor |
| Location | 21531 Waterview Rd, Lewes, Delaware |
| Authorized Official Name and Position | Kathy Mcindoe (OWNER) |
| Authorized Official Contact | 2402066064 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathy Mcindoe LLC 21531 Waterview Rd Lewes DE 19958-5727 Ph: (240) 206-6064 | Kathy Mcindoe LLC 21531 Waterview Rd Lewes DE 19958-5727 Ph: (240) 206-6064 |
| NPI Number | 1720805906 |
|---|---|
| Provider Enumeration Date | 09/20/2024 |
| Last Update Date | 09/20/2024 |
| Certification Date | 09/20/2024 |
| Medicare PECOS PAC ID | 4587199732 |
|---|---|
| Medicare Enrollment ID | O20241125001362 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720805906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (NU) | Primary |
| Provider Name | Mary K. Mcindoe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891184818 PECOS PAC ID: 5496280646 Enrollment ID: I20241125001682 |
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