Organization
ASSOCIATES IN BEHAVIORAL COUNSELING PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRIE LYNN VANNATTA PHD HSPP (PRESIDENT OF CORPORATION)
(765) 288-1110
Entity
Organization
Contact information
Practice address
4607 N WHEELING AVE, MUNCIE, IN 47304
(765) 288-1110
(765) 288-4044
Mailing address
4607 N WHEELING AVE, MUNCIE, IN 47304
(765) 288-1110
(765) 288-4044
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000299446
BLUE CROSS BS ANTHEM
—
Enumeration date
06/26/2006
Last updated
08/22/2020
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