Organization
SHADY GROVE BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDICE DUE LMHC (LICENSED MENTAL HEALTH COUNSELOR)
(317) 709-3402
Entity
Organization
Contact information
Practice address
3786 HARRISON CROSSING LN, GREENWOOD, IN 46142-7616
(317) 709-3402
Mailing address
3786 HARRISON CROSSING LN, GREENWOOD, IN 46142-7616
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39003025A
IN
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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