Organization Name: | INTRIGUE COUNSELING |
NPI Number: | 1366466534 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ABBEE SMITH (DIRECTOR) |
Mailing Address: | 15015 Sr 23 Granger |
State: | IN US |
Postal Code: | 465309666 |
Phone Number: | 5742343515 |
Fax Number: | 5742343565 |
NPI Enumeration Date: | 07/27/2006 |
NPI Last Update Date: | 12/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |