Allison Grace Bodine | Valparaiso, IN • PECOS Search

Allison Grace Bodine

Counselor

Behavioral Health & Social Service Providers

2004 Valparaiso St, Valparaiso, IN 46383-3138

(219) 477-5646 (267) 875-5155

PECOS Enrollment

Based on the most recent information from CMS, provider Allison Grace Bodine does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 11:05 AM.

Profile Details

Provider ID
1861005290
Provider Type
Individual
Full Name
Bodine, Allison Grace
Title
Mrs.
Credential
MA

Gender
Female
Sole Proprietor
Yes
Enumeration Date
8/25/2020
Last Updated
8/25/2020

Contact Information

Practice Location

2004 Valparaiso St, Valparaiso, IN 46383-3138

Unlisted Fax

Mailing Location

1610 Lake Superior Rd Apt 204, Valparaiso, IN 46383-6253

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer