| Midwest Therapy Collective, Llc | |
|
7043 Coppice Ln Apt 7207 Whitestown IN 46075-9042 | |
| (317) 324-8415 | |
| Not Available |
| Full Name | Midwest Therapy Collective, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 7043 Coppice Ln Apt 7207, Whitestown, Indiana |
| Authorized Official Name and Position | Samantha Jo James (FOUNDER) |
| Authorized Official Contact | 4146302011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Therapy Collective, Llc 49 Boone Vlg Ste 103 Zionsville IN 46077-1231 Ph: (317) 324-8415 | Midwest Therapy Collective, Llc 7043 Coppice Ln Apt 7207 Whitestown IN 46075-9042 Ph: (317) 324-8415 |
| NPI Number | 1407549884 |
|---|---|
| Provider Enumeration Date | 05/31/2023 |
| Last Update Date | 05/31/2023 |
| Certification Date | 05/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407549884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |