Organization
H.O.P.E. COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY KATHLEEN LICHTENWALTER MS, PHD (OWNER/LEAD THERAPIST)
(765) 364-0380
Entity
Organization
Contact information
Practice address
1984 INDIANAPOLIS RD, CRAWFORDSVILLE, IN 47933-3135
(765) 364-0380
(765) 364-6816
Mailing address
1984 INDIANAPOLIS RD, CRAWFORDSVILLE, IN 47933-3135
(765) 364-0380
(765) 364-6816
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1410-0-ASO
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326104001
—
IN
Enumeration date
08/27/2007
Last updated
08/27/2007
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