| Renew Hope Counseling Inc | |
|
5460 N 450 W Shipshewana IN 46565-8504 | |
| (260) 463-6915 | |
| Not Available |
| Full Name | Renew Hope Counseling Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5460 N 450 W, Shipshewana, Indiana |
| Authorized Official Name and Position | Charlene Jean Roth (OWNER/THERAPIST) |
| Authorized Official Contact | 2604636915 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renew Hope Counseling Inc Po Box 292 Lagrange IN 46761-0292 Ph: (260) 463-6915 | Renew Hope Counseling Inc 5460 N 450 W Shipshewana IN 46565-8504 Ph: (260) 463-6915 |
| NPI Number | 1629216130 |
|---|---|
| Provider Enumeration Date | 01/22/2009 |
| Last Update Date | 01/22/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629216130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 35001635A (Indiana) | Primary |
Christian Psychological Services, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 245 N. Morton St., Second Floor, Shipshewana, IN 46565 Phone: 260-336-3362 Fax: 260-768-7114 | |
Mindful And Well Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 505 E North Village Dr, Shipshewana, IN 46565 Phone: 260-383-2322 Fax: 260-383-2422 |