Organization
BPW
Active
Other names
PBW
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA ANNETTE BURNS LCSW (MANGER)
(219) 765-8161
Entity
Organization
Contact information
Practice address
6859 WHITCOMB ST, MERRILLVILLE, IN 46410-3397
(219) 765-8161
Mailing address
6859 WHITCOMB ST, MERRILLVILLE, IN 46410-3397
(219) 765-8161
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
34007856A
IN
Other
Enumeration date
06/27/2017
Last updated
07/21/2022
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