Bloomington Behavioral Health LLC
Social Worker, Clinical in Bloomington, IN. Organization (NPI-2).
NPI number1023944337
StatusActive
Last updated in NPPESJun 23, 2026
Details
- NPI
- 1023944337
- Entity type
- Organization (NPI-2)
- Legal business name
- Bloomington Behavioral Health LLC
- Organization subpart
- No
- Enumeration date
- Jun 23, 2026
- Certification date
- Jun 2, 2026
- Last updated
- Jun 23, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
3802 E 3rd StBloomington, IN 47401-5504
Phone 812-320-4969
Mailing address
5534 Saint Joe RdFort Wayne, IN 46835-3328
Authorized official
Craig Smedley
Co-Owner
8123204969
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