Fountain Of Youth, Llc

  • 1316205115 NPI Number
  • |
  • Actived: 11 years ago
  • |
Fountain Of Youth, Llc is a health care provider based in Terre Haute, IN. The NPI Number is 1316205115 and it has been active since 11 years ago. The specialty is Clinic/Center, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Clinic/Center services, Fountain Of Youth, Llc is an excellent option. We are here to help you get the care you need.

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Overview of Fountain Of Youth, Llc

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 04/30/2012
  • Last updated: 04/30/2012

Primary Scrop of Practice

  • Taxonomy Code: 261Q00000X
  • Specialty: Clinic/Center
  • License Number: 71002624A
  • License State: IN

Provider Mailing Address

  • Address: 8810 Wabash Ave
    Terre Haute, IN 47803
  • Phone: 812-239-4090
  • Fax:

Provider Practice Location

  • Address: 8810 Wabash Ave
    Terre Haute, IN 47803
  • Phone: 812-239-4090
  • Fax:

Authorized Official

  • Name: Sherri Jernberg NP
  • Position/Title: Owner/operator
  • Telephone Number: 812-239-4090

Scope of Practice

  • Taxonomy Code: 261Q00000X
  • Specialty: Clinic/Center
  • License Number: 71002624A
  • License State: IN
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 1588821250
  • Identifier Type: Other
  • Identifier State: IN
  • Issuer: PERSONAL NPI NUMBER

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Fountain Of Youth, Llc?
  • A: The npi number for Fountain Of Youth, Llc is 1316205115.
  • Q: What are Fountain Of Youth, Llc's specialties?
  • A: Fountain Of Youth, Llc's specialties are Clinic/Center and different specialities.
  • Q: Where is Fountain Of Youth, Llc business practice location?
  • A: Fountain Of Youth, Llc business practice location is 8810 Wabash Ave, Terre Haute, IN 47803.
  • Q: How to contact Fountain Of Youth, Llc?
  • A: You can contact Fountain Of Youth, Llc via 812-239-4090.
  • Q: What is the authorized official for Fountain Of Youth, Llc?
  • A: The authorized office name is Sherri Jernberg NP with position/title is Owner/operator and you can reach the authorized official via phone number 8122394090.
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