Organization
LIVING HOPE COUNSELING AND CONSULTING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JELILI O. FAKUNMOJU ED.M (COUNSELING)
(317) 291-9388
Entity
Organization
Contact information
Practice address
6350 WESTHAVEN DR STE F, INDIANAPOLIS, IN 46254-2731
(317) 291-9388
(317) 291-9389
Mailing address
6350 WESTHAVEN DR STE F, INDIANAPOLIS, IN 46254-2731
(317) 291-9388
(317) 291-9389
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/17/2012
Last updated
08/17/2012
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