HEATHER BEERY LLC NPI 1093587354

NPI Information

NPI: 1093587354
Provider Name: HEATHER BEERY LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
901 S ROGERS ST STE 103
BLOOMINGTON, IN
ZIP 47403
Phone: (812) 345-0125
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HEATHER BEERY LLC is a mental health (including community mental health center) clinic center in Bloomington, IN. HEATHER BEERY LLC NPI is 1093587354. The provider is registered as an organization entity type.

The provider's business location address is:

901 S ROGERS ST STE 103
BLOOMINGTON, IN
ZIP 47403-760
Phone: (812) 345-0125

The provider's authorized official is Heather Beery .
The authorized official title is Owner and has the following contact phone number (812) 345-0125.

The enumeration date for this NPI number is 10/30/2023 and was last updated on 1/29/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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