Individual
KELLY EBERHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17195 CLEVELAND RD, SOUTH BEND, IN 46635-1415
(574) 277-0274
Mailing address
17195 CLEVELAND RD, SOUTH BEND, IN 46635-1415
(574) 277-0274
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
34011337A
IN
Other
Enumeration date
09/25/2025
Last updated
09/25/2025
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