Organization
MIDWEST THERAPY COLLECTIVE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA JO JAMES LIMHP, LCSW (FOUNDER)
(414) 630-2011
Entity
Organization
Contact information
Practice address
7043 COPPICE LN APT 7207, WHITESTOWN, IN 46075-9042
(317) 324-8415
Mailing address
49 BOONE VLG STE 103, ZIONSVILLE, IN 46077-1231
(317) 324-8415
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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