Organization
LIFE CHANGES MENTAL HEALTH AND ADDICTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM R PEPELEA LCSW (OWNER)
(812) 917-3186
Entity
Organization
Contact information
Practice address
1537 S 7TH ST, TERRE HAUTE, IN 47802-1610
(812) 917-3186
(812) 917-4260
Mailing address
1537 S 7TH ST, TERRE HAUTE, IN 47802-1610
(812) 917-3186
(812) 917-4260
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34006237A
IN
Other
Enumeration date
03/08/2013
Last updated
03/08/2013
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