Organization · NPI-2
Beacon Of Change Counseling LLC
Counselor, Mental Health · Carmel, IN
NPI number1669057717
StatusActive
Last updated in NPPESMar 10, 2021
Details
- NPI
- 1669057717
- Entity type
- Organization (NPI-2)
- Legal business name
- Beacon Of Change Counseling LLC
- Organization subpart
- No
- Enumeration date
- Mar 10, 2021
- Certification date
- Jan 7, 2021
- Last updated
- Mar 10, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – |
Practice location
3021 E 98th St Ste 110Carmel, IN 46280-2942
Phone 317-530-3050
Mailing address
3021 E 98th St Ste 110Carmel, IN 46280-2942
Phone 317-530-3050
Authorized official
Kathryn Rader
Owner
3175303050
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