Organization
INNISFREE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANIE M DESMANGLES LCSW (OWNER)
(765) 237-2231
Entity
Organization
Contact information
Practice address
25 EXECUTIVE DR STE G, LAFAYETTE, IN 47905-4880
(765) 237-2231
(765) 637-7860
Mailing address
3011 CARRIAGE RD, WEST LAFAYETTE, IN 47906-5269
(765) 237-2231
(765) 637-7860
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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