# INNER SANCTUM COUNSELING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336877232
- **Authorized official:** TIMOTHY LARGO (THERAPIST)
- **Authorized official phone:** (574) 285-2078

## Contact information

- **Practice address:** 909 LINWAY DR STE 3, GOSHEN, IN 46526-2435
- **Practice address phone:** (574) 285-2078
- **Mailing address:** 909 LINWAY DR STE 3, GOSHEN, IN 46526-2435
- **Mailing address phone:** (574) 285-2078

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | — | NULL | Yes |
| 101YP2500X | Professional Counselor | — | — | Yes |

## Other

- **Enumeration date:** 08/10/2022
- **Last updated:** 08/10/2022