Child Therapy Lab LLC
Child Therapy Lab LLC is a Clinical Social Worker in South Bend, Indiana. Registered with an NPI since 2021.
- In the registry since
- 2021
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
53174 Flowing Stream CtSouth Bend, IN 46628-9034
Phone: (317) 662-4403
Fax: (317) 900-1896
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X |
|---|
Record details
| NPI number | 1952075574 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Roniqua Zimmermann — Owner/Director · (317) 662-4403 |
| NPI enumerated | August 6, 2021 |
| Last updated in NPPES | August 6, 2021 |
| Certification date | August 6, 2021 |
| Mailing address | 53174 Flowing Stream Ct, South Bend, IN 46628-9034 |
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