| Maple Grove Mental Health Llc | |
|
711 E Lewis And Clark Pkwy Ste 202 Clarksville IN 47129-2283 | |
| (502) 208-8441 | |
| Not Available |
| Full Name | Maple Grove Mental Health Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 711 E Lewis And Clark Pkwy Ste 202, Clarksville, Indiana |
| Authorized Official Name and Position | Douglas A Dixon (OWNER) |
| Authorized Official Contact | 5022088441 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maple Grove Mental Health Llc 711 E Lewis And Clark Pkwy Ste 203 Clarksville IN 47129-2283 Ph: (502) 208-8441 | Maple Grove Mental Health Llc 711 E Lewis And Clark Pkwy Ste 202 Clarksville IN 47129-2283 Ph: (502) 208-8441 |
| NPI Number | 1477349611 |
|---|---|
| Provider Enumeration Date | 04/15/2025 |
| Last Update Date | 05/15/2025 |
| Certification Date | 05/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477349611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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