Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
FAYETTE BHC LLC
Active
Organization
FAYETTE BHC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIA R BOWLING (OWNER)
(765) 827-7890
Entity
Organization
Contact information
Practice address
3013 VIRGINIA AVE, CONNERSVILLE, IN 47331-2552
(765) 827-8022
(765) 827-4184
Mailing address
3013 VIRGINIA AVE, CONNERSVILLE, IN 47331-2552
(765) 827-8022
(765) 827-4184
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
310400000X
Assisted Living Facility
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300082868
—
IN
Enumeration date
10/16/2023
Last updated
06/30/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up