Organization Name: | TEKNON FOUNDATION, LLC |
NPI Number: | 1205217155 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | EMILY D EDWARDS-THOMAS (MEMBER, CO OWNER) |
Mailing Address: | 222 Us Highway 41 Ste 207 Schererville |
State: | IN US |
Postal Code: | 463751275 |
Phone Number: | 2198080793 |
Fax Number: | 7653740628 |
NPI Enumeration Date: | 06/17/2015 |
NPI Last Update Date: | 06/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |