Organization
PAIGE MADDEX & ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL ALAN WEAVER (CEO)
(219) 241-5663
Entity
Organization
Contact information
Practice address
5 LINCOLNWAY STE 2, VALPARAISO, IN 46383-6722
(219) 252-4298
Mailing address
1481 LOBWEDGE LN, CHESTERTON, IN 46304-9171
(219) 252-4298
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
07/28/2023
Last updated
04/19/2024
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