Healthcare Provider Details

I. General information

NPI: 1366524217
Provider Name (Legal Business Name): BEHAVIORAL INTERVENTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2207 W MEMORIAL DR
MUNCIE IN
47302-2075
US

IV. Provider business mailing address

2207 W MEMORIAL DR
MUNCIE IN
47302-2075
US

V. Phone/Fax

Practice location:
  • Phone: 765-288-5247
  • Fax: 765-288-5247
Mailing address:
  • Phone: 765-288-5247
  • Fax: 765-288-5247

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number39000108A
License Number StateIN

VIII. Authorized Official

Name: DR. CYNTHIA J GALLIHUGH
Title or Position: PRESIDENT
Credential: PSYD
Phone: 765-288-5247