Individual ProviderJordan EmbryCounselorBehavioral Health & Social Service ProvidersPractice Address2501 Valley Dr, Valparaiso, IN 46383-2518(219) 323-3311PECOS EnrollmentBased on the most recent information from CMS, provider Jordan Embry does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1457182479Provider TypeIndividualFull NameEmbry, JordanGenderFemaleSole ProprietorNoEnumeration Date8/12/2024Last Updated8/12/2024Contact InformationPractice LocationPractice Address2501 Valley Dr, Valparaiso, IN 46383-2518Phone(219) 323-3311FaxUnlisted FaxMailing LocationMailing Address2501 Valley Dr, Valparaiso, IN 46383-2518PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerIndiana