| Laporte County Comprehensive Mental Health Council | |
|
7224 W 400 N Michigan City IN 46360-2903 | |
| (219) 879-4621 | |
| Not Available |
| Full Name | Laporte County Comprehensive Mental Health Council |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 7224 W 400 N, Michigan City, Indiana |
| Authorized Official Name and Position | Sara Jaleel Bachani (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2198794621 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laporte County Comprehensive Mental Health Council 7224 W 400 N Michigan City IN 46360-2903 Ph: (219) 879-4621 | Laporte County Comprehensive Mental Health Council 7224 W 400 N Michigan City IN 46360-2903 Ph: (219) 879-4621 |
| NPI Number | 1962375964 |
|---|---|
| Provider Enumeration Date | 09/25/2025 |
| Last Update Date | 09/25/2025 |
| Certification Date | 09/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962375964 | NPI | - | NPPES |
| 100163580A | Medicaid | IN | |
| 100163580B | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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