Organization
INNERSPACE CENTER FOR EMOTIONAL HEALTH LLC
Active
Other names
INNERSPACE CENTER FOR EMOTIONAL HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
BONNIE J HERTAUS LCSW (TIN OWNER)
(812) 772-8289
Entity
Organization
Contact information
Practice address
101 PLAZA EAST BLVD STE 224, EVANSVILLE, IN 47715-2806
(812) 773-8289
(812) 308-4064
Mailing address
101 PLAZA EAST BLVD STE 224, EVANSVILLE, IN 47715-2806
(812) 773-8289
(812) 308-4064
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/26/2019
Last updated
08/02/2019
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