Organization
MENTAL HEALTH AMERICA WABASH VALLEY REGION
Active
Other names
Mental Health America of Tippecanoe, Mental Health America
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDI CHRISTIANSEN (PRESIDENT AND CEO)
(765) 742-1800
Entity
Organization
Contact information
Practice address
914 SOUTH ST, LAFAYETTE, IN 47901-1416
(765) 742-1800
Mailing address
914 SOUTH ST, LAFAYETTE, IN 47901-1416
(765) 742-1800
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172A00000X
Driver
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
12/05/2020
Last updated
12/05/2020
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