Organization
HARBOR LIGHTS THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMARA LEE IMEL LMHC (OWNER)
(765) 281-1300
Entity
Organization
Contact information
Practice address
610 S TILLOTSON AVE, SUITE 101, MUNCIE, IN 47304-4430
(765) 744-9597
Mailing address
610 S TILLOTSON AVE, SUITE 101, MUNCIE, IN 47304-4430
(765) 744-9597
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39001395A
IN
Other
Enumeration date
03/25/2008
Last updated
09/10/2013
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