Organization
FOUR COUNTY COMPREHENSIVE MENTAL HEALTH
Active
Other names
Four County Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY ULRICH (CEO)
(574) 722-5151
Entity
Organization
Contact information
Practice address
1015 MICHIGAN AVE, MAIN CENTER, LOGANSPORT, IN 46947-1526
(574) 722-5151
(574) 739-1414
Mailing address
1015 MICHIGAN AVE, MAIN CENTER, LOGANSPORT, IN 46947-1526
(574) 722-5151
(574) 739-1414
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
427-1-PIP
IN
101YM0800X
Mental Health Counselor
427-0CMHC
IN
101YM0800X
Mental Health Counselor
427-1-PIP
IN
101YP2500X
Professional Counselor
427-0-CMHC
IN
101YP2500X
Professional Counselor
427-1-PIP
IN
101YS0200X
School Counselor
Primary
427-1-PIP
IN
103TA0700X
Adult Development & Aging Psychologist
427-1-PIP
IN
103TB0200X
Cognitive & Behavioral Psychologist
427-1-PIP
IN
103TC0700X
Clinical Psychologist
427-1-PIP
IN
103TC1900X
Counseling Psychologist
427-1-PIP
IN
103TC2200X
Clinical Child & Adolescent Psychologist
427-1-PIP
IN
1041C0700X
Clinical Social Worker
427-1-PIP
IN
1041S0200X
School Social Worker
427-1-PIP
IN
106H00000X
Marriage & Family Therapist
427-1-PIP
IN
Other
Enumeration date
02/23/2006
Last updated
09/11/2025
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