Organization
BEACON OF CHANGE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN RADER LMHC (OWNER)
(317) 530-3050
Entity
Organization
Contact information
Practice address
3021 E 98TH ST STE 110, CARMEL, IN 46280-2942
(317) 530-3050
Mailing address
3021 E 98TH ST STE 110, CARMEL, IN 46280-2942
(317) 530-3050
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
03/10/2021
Last updated
03/10/2021
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