Organization
EXPAT THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE K SOMMER LCSW (MANAGER, THERAPIST)
(812) 320-6652
Entity
Organization
Contact information
Practice address
3866 S EASTMONT AVE, BLOOMINGTON, IN 47403-9269
(812) 320-6652
Mailing address
8465 KEYSTONE CROSSING, SUITE 115 #752, INDIANAPOLIS, IN 46240
(812) 320-6652
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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