| Verg Life Llc | |
|
11060 E Division Rd Knox IN 46534-8733 | |
| (219) 707-8523 | |
| (219) 707-8523 |
| Full Name | Verg Life Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 11060 E Division Rd, Knox, Indiana |
| Authorized Official Name and Position | Amye Renee Gourley (OWNER/CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2197078523 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Verg Life Llc 11060 E Division Rd Knox IN 46534-8733 Ph: (219) 707-8523 | Verg Life Llc 11060 E Division Rd Knox IN 46534-8733 Ph: (219) 707-8523 |
| NPI Number | 1598452070 |
|---|---|
| Provider Enumeration Date | 04/24/2023 |
| Last Update Date | 11/17/2024 |
| Certification Date | 11/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598452070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |