Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vigo County

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1053286690

Vigo County is a Psychiatric/Mental Health Nurse Practitioner in Terre Haute, Indiana. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

104 S 1st St
Terre Haute, IN 47807-3404
Phone: (812) 462-3381
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1053286690
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mackenzie Goodman — Office Manager · (812) 462-3381
NPI enumeratedOctober 6, 2025
Last updated in NPPESOctober 6, 2025
Certification dateOctober 6, 2025
Mailing address104 S 1st St, Terre Haute, IN 47807-3404

Other providers in Terre Haute