| Michiana Mental Health Care, Llc. | |
|
210 S Race St Mishawaka IN 46544 | |
| (574) 220-7084 | |
| Not Available |
| Full Name | Michiana Mental Health Care, Llc. |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 210 S Race St, Mishawaka, Indiana |
| Authorized Official Name and Position | Tara Stanton (OWNER) |
| Authorized Official Contact | 5742207084 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michiana Mental Health Care, Llc. 14691 Copper Penny Dr Granger IN 46530-8304 Ph: (574) 220-7084 | Michiana Mental Health Care, Llc. 210 S Race St Mishawaka IN 46544 Ph: (574) 220-7084 |
| NPI Number | 1205315033 |
|---|---|
| Provider Enumeration Date | 08/13/2018 |
| Last Update Date | 08/22/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205315033 | NPI | - | NPPES |
| 1194175554 | Medicaid | IN |
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