Provider Demographics
NPI:1275217705
Name:TWIN SPRINGS COUNSELING, LLC
Entity Type:Organization
Organization Name:TWIN SPRINGS COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:BAGBY
Authorized Official - Last Name:FARMER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:812-322-1226
Mailing Address - Street 1:4790 N MOUNT GILEAD RD
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47408-7405
Mailing Address - Country:US
Mailing Address - Phone:812-322-1226
Mailing Address - Fax:
Practice Address - Street 1:1408 S WALNUT ST
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:IN
Practice Address - Zip Code:47401-5887
Practice Address - Country:US
Practice Address - Phone:812-565-8265
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-14
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)