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Organization
EASE OF MIND COUNSELING SERVICES, LLC
Active
Organization
EASE OF MIND COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA MARITA JOHNSON LMHC (THERAPIST)
(812) 820-3061
Entity
Organization
Contact information
Practice address
639 N SHEA RD, SCOTTSBURG, IN 47170-8132
(812) 820-3061
Mailing address
639 N SHEA RD, SCOTTSBURG, IN 47170-8132
(812) 820-3061
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043827991
NPI TYPE 1
—
01
—
39003807A
PROFESSIONAL LICENSE
IN
Enumeration date
07/01/2021
Last updated
07/01/2021
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