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NPI Code Detail

MEDICARE: MRS. TONYA MARIE HARLAN NBC-HWC

MEDICARE:  MRS. TONYA MARIE HARLAN  NBC-HWC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171400000XHealth & Wellness CoachA-3270422IN
2101YM0800XMental Health Counselor88001930AIN

General Provider Information

NPI Number : 1477290435
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TONYA MARIE HARLAN NBC-HWC
Provider Business Mailing Address
First Line : 7811 W SINCLAIR ST
Second Line :
City : WEST BADEN SPRINGS
State : IN
Zip : 47469-9682
Country : US
Telephone Number : 812-572-9461
Fax Number :
Provider Business Practice Location Address
First Line : 7230 ARBUCKLE CMNS
Second Line :
City : BROWNSBURG
State : IN
Zip : 46112-1791
Country : US
Telephone Number : 812-572-9461
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2022
Last Update Date : 04/20/2023

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Directions to “ MRS. TONYA MARIE HARLAN NBC-HWC” Practice Location

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