Organization Name: | ALLIED BEHAVIORAL CONSULTANTS |
NPI Number: | 1053688812 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KEVIN S. MINNICK (OWNER/PARTNER) |
Mailing Address: | 104 Granby Dr Cumberland |
State: | IN US |
Postal Code: | 462292893 |
Phone Number: | 3178471645 |
Fax Number: | |
NPI Enumeration Date: | 11/22/2011 |
NPI Last Update Date: | 11/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 39000930A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |