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Elizabeth Tully, Lcsw, LLC

Community/Behavioral Health in Jeffersonville, IN. Organization (NPI-2).

NPI number1831662980
StatusActive
Last updated in NPPESJan 10, 2019

Details

NPI
1831662980
Entity type
Organization (NPI-2)
Legal business name
Elizabeth Tully, Lcsw, LLC
Organization subpart
No
Enumeration date
Jan 10, 2019
Last updated
Jan 10, 2019

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

590 Missouri Ave Ste 206c
Jeffersonville, IN 47130-3084

Phone 812-541-9929 · Fax 812-461-0426

Mailing address

590 Missouri Ave Ste 206c
Jeffersonville, IN 47130-3084

Phone 812-541-9929 · Fax 812-461-0426

Authorized official

Elizabeth Tully
Therapist
8125419929

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Community/Behavioral Health Agency providers in Jeffersonville, IN

All 12 Community/Behavioral Health Agency providers in Jeffersonville · All 1,644 providers in Jeffersonville

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