Tom Walters, LMHC

NPI 1871912774 · on the registry since 2014 · sole proprietor

Practice

Address: 415 E Madison St
South Bend, IN 46617
Phone: (574) 533-1234
Fax: (574) 537-2652
Organisation at this address: Genoa Healthcare Llc
Indiana Health Centers, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 154

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Licence states on file: IN
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-07-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana