Organization
HAMMOND CARE FROM THE HEART SOCIAL SERVICES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH A. RICHARD (VICE PRESIDENT)
(219) 933-7111
Entity
Organization
Contact information
Practice address
534 CONKEY ST, 2ND FLOOR, HAMMOND, IN 46324-1100
(219) 933-7111
(219) 933-6657
Mailing address
534 CONKEY ST, HAMMOND, IN 46324-1100
(219) 933-7111
(219) 933-6657
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
01194049310012
IN
251B00000X
Case Management Agency
01194049310012
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200440490A
PROVIDER NUMBER
IN
Enumeration date
06/04/2006
Last updated
02/19/2010
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