Inspired Peace Counseling Services
LBN: Inspired Peace Counseling Services
Inspired Peace Counseling Services is an health care organization with primary practice located at 3009 Winter Garden Dr , Valparaiso IN 46385-7140. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Agencies / Community/Behavioral Health is the primary health care specialty.
Inspired Peace Counseling Services can be contacted via phone (219) 508-5646, or through Jackson Pittman, Dominique via phone (219) 613-7872.
Contact Information
Primary practice address
3009 Winter Garden Dr
Valparaiso IN 46385-7140
Phone: (219) 508-5646
Fax:
Website:
Authorized official contact:
Name: Jackson Pittman, Dominique Licensed Clinical Social Worker (LCSW)
Phone: (219) 613-7872
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
Agencies / Community/Behavioral Health | 251S00000X | ||
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X |
Profile Details
NPI number | 1801487574 |
---|---|
LBN Legal business name | Inspired Peace Counseling Services |
DBA Doing business as | |
Authorized official | Jackson Pittman, Dominique Licensed Clinical Social Worker (LCSW) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jan 26th, 2021 |
Last updated | Jan 11th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1801487574 | NPPES |
Other | 1801487574 | BUSINESS NPI | |
Other | 1891382339 | BUSINESS NPI | |
MEDICAID | 300067700 | BUSINESS NPI |
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