INSPIRED PEACE COUNSELING SERVICES NPI 1801487574

NPI Information

NPI: 1801487574
Provider Name: INSPIRED PEACE COUNSELING SERVICES
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
3009 WINTER GARDEN DR
VALPARAISO, IN
ZIP 46385
Phone: (219) 508-5646
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INSPIRED PEACE COUNSELING SERVICES is a mental health (including community mental health center) clinic center in Valparaiso, IN. INSPIRED PEACE COUNSELING SERVICES NPI is 1801487574. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3009 WINTER GARDEN DR
VALPARAISO, IN
ZIP 46385-140
Phone: (219) 508-5646

The provider's authorized official is Dominique Jackson-pittman .
The authorized official title is Coo/ Psychotherapist and has the following contact phone number (219) 613-7872.

The enumeration date for this NPI number is 1/26/2021 and was last updated on 7/19/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YM0800X	Counselor	Mental Health	No
2	103K00000X	Behavior Analyst		No
3	103TC2200X	Psychologist	Clinical Child & Adolescent	No
4	1041C0700X	Social Worker	Clinical	No
5	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1891382339	MEDICAID	INDIANA
2	1801487574	OTHER		BUSINESS NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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