Victory Clinical Services Ii Llc - South Bend, IN

Victory Clinical Services Ii Llc

Nurse Practitioner in South Bend, Indiana

NPI 1497798284

Victory Clinical Services Ii Llc is a Nurse Practitioner based in South Bend, IN. Victory Clinical Services Ii Llc practices in South Bend, IN. The NPI Number for Victory Clinical Services Ii Llc is 1497798284 and holds a License No. 20010221A (Indiana).

The current practice location address for Victory Clinical Services Ii Llc is 4218 W Western Ave, South Bend, IN and can be reached out via phone at 574-233-1524 and via fax at 574-233-1612. You can also correspond with Victory Clinical Services Ii Llc through the mailing address at 4218 W WESTERN AVE, SOUTH BEND, IN - 46619-2622 (mailing address contact number: 574-233-1524).

Location: 4218 W Western Ave, South Bend, IN, 46619-2622

NPI Number

1497798284

Provider Name

Victory Clinical Services Ii Llc

Credential

Provider Entity Type

Organization

Address

4218 W Western Ave, South Bend, IN, 46619-2622

Phone Number

574-233-1524

Fax Number

574-233-1612

Provider Enumeration Date

06/13/2006

Last Update Date

03/12/2024

Identifier	Type	State	Issuer
1255432233	01	IN	WOODWARD NPC - NPI
168750	05	IN
100220790	05	IN
200495610	05	IN
1518055565	01	IN	SHEEHAN HSPP - NPI
1982647434	01	IN	WANG - NPI

Address

4218 W Western Ave

City

South Bend

State

Indiana

Zip

46619-2622

Phone Number

574-233-1524

Fax Number

574-233-1612

Address

4218 W Western Ave

City

South Bend

State

Indiana

Zip

46619-2622

Phone Number

574-233-1524

Fax Number

574-233-1612

Type

Behavioral Health & Social Service Providers

Classification

Psychologist

Speciality

Health Service

Taxonomy

103TH0100X

License No.

71001833A (Indiana)

Definition

A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).

Type

Allopathic & Osteopathic Physicians

Classification

Family Medicine

Speciality

Addiction Medicine

Taxonomy

207QA0401X

License No.

02001493A (Indiana)

Definition

A family medicine physician who specializes in the diagnosis and treatment of addictions.

Type

Physician Assistants & Advanced Practice Nursing Providers

Classification

Nurse Practitioner

Speciality

Taxonomy

363L00000X

License No.

20010221A (Indiana)

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

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