Organization
FAMILY & CHILDREN'S CENTER OF COUNSELING AND DEVELOPMENT SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA HANCOCK LCSW (CLINICAL DIRECTOR)
(574) 232-2255
Entity
Organization
Contact information
Practice address
611 LINCOLNWAY EAST, SOUTH BEND, IN 46601-3220
(574) 232-2255
(574) 232-8968
Mailing address
611 LINCOLNWAY EAST, SOUTH BEND, IN 46601-3220
(574) 232-2255
(574) 232-8968
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000184548
ANTHEM
IN
05
—
200264420
—
IN
01
—
236961000
MAGELLAN
IN
Enumeration date
10/12/2005
Last updated
10/31/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us