Organization
DVP COUNSELING AND BEHAVIORAL SERVICES , LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ELIVIA MAE PITTMAN MS,MSW,LSW (OWNER)
(219) 661-2602
Entity
Organization
Contact information
Practice address
9370 TYLER ST, CROWN POINT, IN 46307-2275
(219) 730-6582
Mailing address
9370 TYLER ST, CROWN POINT, IN 46307-2275
(219) 730-6582
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300059112
—
IN
Enumeration date
04/24/2023
Last updated
04/24/2023
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