| New Light Mental Health, Llc | |
|
2047 Crisman Rd Portage IN 46368-1612 | |
| (317) 565-7328 | |
| Not Available |
| Full Name | New Light Mental Health, Llc |
|---|---|
| Speciality | Counselor |
| Location | 2047 Crisman Rd, Portage, Indiana |
| Authorized Official Name and Position | Francesco Adamo (OWNER) |
| Authorized Official Contact | 3175657328 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Light Mental Health, Llc Po Box 2257 Chesterton IN 46304-0357 Ph: (317) 565-7328 | New Light Mental Health, Llc 2047 Crisman Rd Portage IN 46368-1612 Ph: (317) 565-7328 |
| NPI Number | 1144058009 |
|---|---|
| Provider Enumeration Date | 07/23/2024 |
| Last Update Date | 07/23/2024 |
| Certification Date | 07/23/2024 |
| Medicare PECOS PAC ID | 8022556059 |
|---|---|
| Medicare Enrollment ID | O20240821001906 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144058009 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Francesco Adamo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831479773 PECOS PAC ID: 6103260286 Enrollment ID: I20240821002041 |
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