| Catholic Charities Diocese Of Gary Inc | |
|
6919 Indianapolis Blvd Hammond IN 46324-2205 | |
| (219) 844-4883 | |
| (219) 844-4885 |
| Full Name | Catholic Charities Diocese Of Gary Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 6919 Indianapolis Blvd, Hammond, Indiana |
| Authorized Official Name and Position | Duane D Dedelow (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2198863549 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Catholic Charities Diocese Of Gary Inc 940 Broadway Gary IN 46402-2906 Ph: (219) 886-3549 | Catholic Charities Diocese Of Gary Inc 6919 Indianapolis Blvd Hammond IN 46324-2205 Ph: (219) 844-4883 |
| NPI Number | 1922137975 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 10/31/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922137975 | NPI | - | NPPES |
| 200085310 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 56030098 50243 (Indiana) | Primary |
Northshore Hammond Health Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1828 165th St Ste A, Hammond, IN 46320 Phone: 219-763-8112 Fax: 219-844-9006 | |
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Hammond Care From The Heart Social Services, Llc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 534 Conkey St, 2nd Floor, Hammond, IN 46324 Phone: 219-933-7111 Fax: 219-933-6657 | |
Fitness Flye Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 821 Cherry St, Hammond, IN 46324 Phone: 312-725-9388 | |
Emerging Renewal, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1722 171st St, Hammond, IN 46324 Phone: 773-981-5039 | |
Lakeside Behavioral Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5944 1/2 Hohman Ave., Hammond, IN 46320 Phone: 219-801-1789 Fax: 219-354-0356 |