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Organization

GUARDIAN WAY LLC

Active
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Organization

GUARDIAN WAY LLC

Active
Other names
Guardian Way LLC
Organization subpart
No

Provider details

NPI number
Authorized official
CLIFFORD BERNARD NORMAN JR. MS, NCC, LMHC (OWNER/THERAPIST)
(727) 768-9176
Entity
Organization

Contact information

Practice address
615 N 18TH ST STE 106, LAFAYETTE, IN 47904-3413
(765) 205-8002
Mailing address
615 N 18TH ST, SUITE 106, LAFAYETTE, IN 47904-3413
(765) 205-8002

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
06/16/2025
Last updated
06/16/2025
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