FOUR COUNTY COMPREHENSIVE MENTAL HEALTH NPI 1053387803

NPI Information

NPI: 1053387803
Provider Name: FOUR COUNTY COMPREHENSIVE MENTAL HEALTH

Doing Business As: FOUR COUNTY COUNSELING CENTER

Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
1015 MICHIGAN AVE
MAIN CENTER
LOGANSPORT, IN
ZIP 46947
Phone: (574) 722-5151
Get Directions

FOUR COUNTY COMPREHENSIVE MENTAL HEALTH is an addiction (substance use disorder) counselor in Logansport, IN. FOUR COUNTY COMPREHENSIVE MENTAL HEALTH NPI is 1053387803. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Four County Counseling Center.

The provider's business location address is:

1015 MICHIGAN AVE
MAIN CENTER
LOGANSPORT, IN
ZIP 46947-526
Phone: (574) 722-5151
Fax: (574) 739-1414

The provider's authorized official is Larry Ulrich .
The authorized official title is Ceo and has the following contact phone number (574) 722-5151.

The enumeration date for this NPI number is 2/23/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	427-1-PIP	INDIANA	Yes
2	101YM0800X	Counselor	Mental Health	427-1-PIP	INDIANA	X
3	101YP2500X	Counselor	Professional	427-0-CMHC	INDIANA	X
4	103TA0700X	Psychologist	Adult Development & Aging	427-1-PIP	INDIANA	X
5	103TB0200X	Psychologist	Cognitive & Behavioral	427-1-PIP	INDIANA	X
6	103TC0700X	Psychologist	Clinical	427-1-PIP	INDIANA	X
7	103TC1900X	Psychologist	Counseling	427-1-PIP	INDIANA	X
8	103TC2200X	Psychologist	Clinical Child & Adolescent	427-1-PIP	INDIANA	X
9	1041C0700X	Social Worker	Clinical	427-1-PIP	INDIANA	X
10	1041S0200X	Social Worker	School	427-1-PIP	INDIANA	X
11	106H00000X	Marriage & Family Therapist		427-1-PIP	INDIANA	X
12	101YM0800X	Counselor	Mental Health	427-0CMHC	INDIANA	X
13	101YP2500X	Counselor	Professional	427-1-PIP	INDIANA	X
14	101YS0200X	Counselor	School	427-1-PIP	INDIANA	X

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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