Victory Clinical Services II LLC
Victory Clinical Services II LLC is a Health Service Psychologist in South Bend, Indiana. Licensed in Indiana. Registered with an NPI since 2006.
- Licensed in
- IN
- In the registry since
- 2006
- Specialties on file
- 3
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4218 W Western AveSouth Bend, IN 46619-2622
Phone: (574) 233-1524
Fax: (574) 233-1612
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
| Addiction Medicine (Family Medicine) Physician (primary) | Taxonomy 207QA0401X · Licence 02001493A (IN) |
|---|---|
| Health Service Psychologist | Taxonomy 103TH0100X · Licence 20010221A (IN) |
| Nurse Practitioner | Taxonomy 363L00000X · Licence 71001833A (IN) |
Record details
| NPI number | 1497798284 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | David Blankenship — Administrative Director · (574) 233-1524 |
| NPI enumerated | June 13, 2006 |
| Last updated in NPPES | March 22, 2012 |
| Mailing address | 4218 W Western Ave, South Bend, IN 46619-2622 |
Other providers in South Bend
-
Dr. Leroy Burgess, PSYCHOLOGIST
300 S Saint Louis Blvd Ste 202, South Bend, IN 46617-3044 · (574) 232-1405
-
Dr. Joyce Vestal Dunfee, PHD
714 N Michigan St, South Bend, IN 46601-1035 · (574) 647-7477