The Hope Source Inc. | |
5450 Boy Scout Rd Lawrence IN 46226-1317 | |
(317) 578-0410 | |
Not Available |
Full Name | The Hope Source Inc. |
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Speciality | Psychologist - Counseling |
Location | 5450 Boy Scout Rd, Lawrence, Indiana |
Authorized Official Name and Position | Momi Yamanaka (EXECUTIVE CLINICAL DIRECTOR) |
Authorized Official Contact | 3175178817 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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The Hope Source Inc. 8350 Craig St Indianapolis IN 46250-3593 Ph: (317) 578-0410 | The Hope Source Inc. 5450 Boy Scout Rd Lawrence IN 46226-1317 Ph: (317) 578-0410 |
NPI Number | 1629515176 |
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Provider Enumeration Date | 01/23/2017 |
Last Update Date | 12/04/2024 |
Certification Date | 12/04/2024 |
Identifier | Type | State | Issuer |
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1629515176 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |