Organization · Type 2 NPI

State of Mind Therapy Services, LLC

Professional Counselor · Portage, IN

NPI number 1083493761 Active

Practice location

55 Shore Dr
Portage, IN 46368-1008

Mailing address

709 Plaza Dr., Suite 2 Pmb 279
Chesterton, IN 46304-1572

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Professional Counselor Primary 101YP2500XNone listed

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About NPI 1083493761

State of Mind Therapy Services, LLC's National Provider Identifier is 1083493761, issued on Sep 22, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Portage, IN. The record was last updated on Nov 16, 2023.