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Organization
HICKORY GROVE BEHAVIORAL SERVICES, LLC
Active
Organization
HICKORY GROVE BEHAVIORAL SERVICES, LLC
Active
Other names
Hickory Grove Behavioral Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT DALE OWENS II LMHC (OWNER)
(574) 265-4428
Entity
Organization
Contact information
Practice address
300 WILE ST STE 2, LA PORTE, IN 46350-5672
(574) 265-4428
Mailing address
713 NW 8TH CT, BOYNTON BEACH, FL 33426-3509
(574) 265-4428
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/10/2024
Last updated
03/11/2026
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