| South Bend Wellness Center Llc | |
|
52081 Glen Arbor Ct Granger IN 46530-7813 | |
| (574) 329-1316 | |
| Not Available |
| Full Name | South Bend Wellness Center Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 52081 Glen Arbor Ct, Granger, Indiana |
| Authorized Official Name and Position | Sarah Von Der Mehden (OWNER) |
| Authorized Official Contact | 5743291316 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Bend Wellness Center Llc 52081 Glen Arbor Ct Granger IN 46530-7813 Ph: () - | South Bend Wellness Center Llc 52081 Glen Arbor Ct Granger IN 46530-7813 Ph: (574) 329-1316 |
| NPI Number | 1467133207 |
|---|---|
| Provider Enumeration Date | 07/25/2023 |
| Last Update Date | 07/25/2023 |
| Certification Date | 07/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467133207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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