| Prepare To Change, Inc. | |
|
9309 E Commerce Dr Ste 2 Churubusco IN 46723-9557 | |
| (260) 222-8288 | |
| Not Available |
| Full Name | Prepare To Change, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 9309 E Commerce Dr Ste 2, Churubusco, Indiana |
| Authorized Official Name and Position | Denise M Kuhn (OFFICE MANAGER) |
| Authorized Official Contact | 9492756047 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prepare To Change, Inc. 5361 N 700 E Churubusco IN 46723-9323 Ph: (949) 275-6047 | Prepare To Change, Inc. 9309 E Commerce Dr Ste 2 Churubusco IN 46723-9557 Ph: (260) 222-8288 |
| NPI Number | 1417304320 |
|---|---|
| Provider Enumeration Date | 05/20/2016 |
| Last Update Date | 01/29/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417304320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 20042828A (Indiana) | Primary |
Cheryl Wagoner Lmhc Private Practice Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6450 E Mcguire Rd, Churubusco, IN 46723 Phone: 260-244-3427 |