STATE OF MIND THERAPY SERVICES, LLC
NPI 1083493761
Counselor - Professional in Portage, IN
Active since September 22, 2023
About State Of Mind Therapy Services, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STATE OF MIND THERAPY SERVICES, LLC (NPI 1083493761) is a healthcare organization registered as a professional in Portage, Indiana and active in the NPI registry since September 2023. The organization lists Tiffany Kilroy, Owner/therapist, as its authorized official.
NPPES Registry Identity
NPI1083493761
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameSTATE OF MIND THERAPY SERVICES, LLC
Location Address55 SHORE DRPortage, IN 46368-1008
Mailing Address709 Plaza Dr., Suite 2 Pmb 279Chesterton, IN 46304-1572 · (219) 230-8311
Phone(219) 230-8311
Organization SubpartNo
Authorized OfficialTiffany KilroyOwner/therapist · (219) 230-8311
Enumeration DateSeptember 22, 2023
Last NPPES UpdateNovember 16, 2023
NPPES CertifiedNovember 16, 2023
✔ NPI 1083493761 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
55 SHORE DR, Portage, IN 46368
Group Practice 1
Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083493761, enumerated as an "organization" on September 22, 2023.
The provider is located at 55 SHORE DR PORTAGE, IN 46368 and the phone number is (219) 230-8311.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
