Good Samaritan Hospital
Good Samaritan Hospital provides Counselor services in Petersburg, Indiana. Licensed in Indiana. Registered with an NPI since 2005.
- Licensed in
- IN
- In the registry since
- 2005
- Specialties on file
- 5
Practice location Address checks out
611 E Main St Ste 110Petersburg, IN 47567-1267 Not confirmed with CMS for 11 years — call before visiting
Phone: (812) 354-8785
Fax: (812) 354-8786
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X · Licence 4030CMHC (IN) |
|---|---|
| Counselor | Taxonomy 101Y00000X · Licence 4030 (IN) |
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence 4030 (IN) |
| Clinical Social Worker | Taxonomy 1041C0700X · Licence 4030 (IN) |
| Psychiatry Physician | Taxonomy 2084P0800X · Licence 4030 (IN) |
Record details
| NPI number | 1952309528 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Good Samaritan Hospital |
| Authorized official | John Manning — Vp Behavioral Health/Spec Projects · (812) 886-6800 |
| Other names | Samaritan Center - Petersburg |
| NPI enumerated | July 8, 2005 |
| Last updated in NPPES | June 3, 2015 |
| Mailing address | 515 Bayou St, Vincennes, IN 47591-1034 |