Organization
ACCENTUATE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYE DOMINGUEZ LCAC, LMHC, NCC (OWNER/THERAPIST)
(219) 895-1236
Entity
Organization
Contact information
Practice address
3238 HIGHWAY AVENUE, HIGHLAND, IN 46322
(219) 895-1236
Mailing address
7951 CALUMET AVE # 1087, MUNSTER, IN 46321-1215
(219) 895-1236
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/05/2024
Last updated
12/10/2024
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