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Organization
MENTAL HEALTH AMERICA WABASH VALLEY REGION INC
Active
Organization
MENTAL HEALTH AMERICA WABASH VALLEY REGION INC
Active
Other names
Mental Health America of Tippecanoe County Inc
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDI RAE CHRISTIANSEN (PRESIDENT AND CEO)
(765) 742-1800
Entity
Organization
Contact information
Practice address
914 SOUTH ST, LAFAYETTE, IN 47901-1416
(765) 742-1800
Mailing address
914 SOUTH ST, LAFAYETTE, IN 47901-1416
(765) 742-1800
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
172A00000X
Driver
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
08/25/2021
Last updated
07/01/2025
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