| Untethered Therapy Services | |
|
10769 Broadway Pmb 208 Crown Point IN 46307-7316 | |
| (872) 216-5273 | |
| Not Available |
| Full Name | Untethered Therapy Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 10769 Broadway, Crown Point, Indiana |
| Authorized Official Name and Position | Faimmiah Menyongai (OWNER) |
| Authorized Official Contact | 8722165273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Untethered Therapy Services 10769 Broadway Pmb 208 Crown Point IN 46307 Ph: () - | Untethered Therapy Services 10769 Broadway Pmb 208 Crown Point IN 46307-7316 Ph: (872) 216-5273 |
| NPI Number | 1528940970 |
|---|---|
| Provider Enumeration Date | 07/24/2025 |
| Last Update Date | 07/24/2025 |
| Certification Date | 06/09/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528940970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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