Willow Branch Counseling

LBN: Psychological Assessment And Consulting, Pc
Willow Branch Counseling is an health care organization with primary practice located at 1806 W Royale Dr , Muncie IN 47304-2243. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Psychological Assessment And Consulting, Pc can be contacted via phone (765) 755-0052, or through Kimmerling, Grace via phone (765) 755-0052.

Contact Information

Primary practice address
1806 W Royale Dr Muncie IN 47304-2243
Phone: (765) 755-0052
Fax: (765) 755-0052
Website:
Map and Directions
Authorized official contact:
Name: Kimmerling, Grace PHD
Phone: (765) 755-0052

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 20041639A Indiana

Profile Details

NPI number 1962659607
LBN Legal business name Psychological Assessment And Consulting, Pc
DBA Doing business as Willow Branch Counseling
Authorized official Kimmerling, Grace PHD
Entity Organization
Organization subpart 1 No
Enumeration date Aug 25th, 2008
Last updated Mar 6th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962659607 NPPES
Indiana MEDICAID 200911770A
Indiana Other 11646258
Indiana Other 000000588248

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