Organization
BIOFEEDBACK COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRYSTAL S ANGEVINE LCSW, LCAC (PRESIDENT)
(502) 641-5989
Entity
Organization
Contact information
Practice address
2580 CHARLESTOWN RD, NEW ALBANY, IN 47150-2555
(502) 641-5989
Mailing address
9451 VOYLES RD, PEKIN, IN 47165-9606
(502) 641-5989
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
34001748A
IN
Other
Enumeration date
11/29/2011
Last updated
11/29/2011
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