| Sea Therapy Llc | |
|
1004 Parkway Ave Ste D Elkhart IN 46516-9349 | |
| (574) 293-0005 | |
| Not Available |
| Full Name | Sea Therapy Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1004 Parkway Ave Ste D, Elkhart, Indiana |
| Authorized Official Name and Position | Stephanie K Mcintosh Szabo (OWNER) |
| Authorized Official Contact | 5746124556 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sea Therapy Llc 29765 County Road 118 Elkhart IN 46517-9392 Ph: (574) 612-4556 | Sea Therapy Llc 1004 Parkway Ave Ste D Elkhart IN 46516-9349 Ph: (574) 293-0005 |
| NPI Number | 1215467659 |
|---|---|
| Provider Enumeration Date | 06/18/2017 |
| Last Update Date | 07/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215467659 | NPI | - | NPPES |
| 11844637 | Other | IN | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 309003032A (Indiana) | Primary |
| 251S00000X | Community/behavioral Health | 87000369A (Indiana) | Secondary |
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