Organization
PHOENIX TREE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAWNY CULVER LCSW (PARTNER/THERAPIST)
(317) 938-3141
Entity
Organization
Contact information
Practice address
100 EXECUTIVE DR STE K, LAFAYETTE, IN 47905-4865
(317) 938-3141
Mailing address
1644 E 450 S, CHALMERS, IN 47929-8011
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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