Organization
BRIDGE TO PEACE COUNSELING, LLC
Active
Other names
Bridge to Peace Counseling, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KYM A GROCEMAN LMHC (OWNER)
(219) 627-1555
Entity
Organization
Contact information
Practice address
502 WALL ST STE 105, VALPARAISO, IN 46383-2599
(219) 627-1555
Mailing address
502 WALL ST STE 105, VALPARAISO, IN 46383-2599
(219) 627-1555
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39002848A
BEHAVIORAL HEALTH AND HUMAN SERVICES LICENSING BOARD
IN
Enumeration date
11/30/2020
Last updated
12/02/2020
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