Organization
HELEN MARIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HELEN MARIA JOHNSTON LCSW (OWNER)
(812) 360-3585
Entity
Organization
Contact information
Practice address
4431 S WALNUT STREET PIKE, BLOOMINGTON, IN 47401-9094
(812) 360-3585
Mailing address
4431 S WALNUT STREET PIKE, BLOOMINGTON, IN 47401-9094
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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