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Organization
IN TIME CREATIVE COUNSELING SERVICES LLC
Active
Organization
IN TIME CREATIVE COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THERESA WHITE LMHC, NCC, CCMHC (CEO)
(812) 208-3175
Entity
Organization
Contact information
Practice address
619 CHERRY ST, TERRE HAUTE, IN 47807-3125
(812) 382-5512
(812) 244-2762
Mailing address
5105 S. US HWY 41, PMB 227, TERRE HAUTE, IN 47802-4790
(812) 382-5512
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
390002582A
IN
Other
Enumeration date
09/03/2018
Last updated
01/18/2019
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