Healthcare Provider Details

I. General information

NPI: 1386058428
Provider Name (Legal Business Name): MCARTHUR MENTAL HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2014
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3201 E. CENTER ST. EXT.
WARSAW IN
46582
US

IV. Provider business mailing address

3201 E. CENTER ST. EXT.
WARSAW IN
46582
US

V. Phone/Fax

Practice location:
  • Phone: 574-267-1700
  • Fax: 574-267-0017
Mailing address:
  • Phone: 574-267-1700
  • Fax: 574-267-0017

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number39001310A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number87000781A
License Number StateIN

VIII. Authorized Official

Name: JOEL MCARTHUR
Title or Position: OWNER
Credential: MA, LMHC, LCAC
Phone: 574-267-1700