Four County Comprehensive Mental Health in Logansport - Clinical Child & Adolescent
Four County Comprehensive Mental Health - NPI 1053387803
Four County Comprehensive Mental Health is a Clinical Child & Adolescent in Logansport, Indiana. Four County Comprehensive Mental Health practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Four County Comprehensive Mental Health is 1053387803. The last update date is 2020-08-22.
Four County Comprehensive Mental Health's current location address is 1015 Michigan Ave, Logansport, Indiana. You can contact this provider via phone number 5747225151 and fax number 5747391414. The mailing address for Four County Comprehensive Mental Health is 1015 Michigan Ave, Logansport, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Four County Comprehensive Mental Health |
|---|---|
| Address | 1015 Michigan Ave, Logansport, Indiana |
| Phone Number | 5747225151 |
| Fax Number | 5747391414 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Ulrich Larry |
| Telephone Number | 5747225151 |
NPI Number Detail
| NPI Number | 1053387803 |
|---|---|
| Provider Enumeration Date | 2006-02-23 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1015 Michigan Ave |
|---|---|
| City | Logansport |
| State | Indiana (IN) |
| Post Code | 469471526 |
| Phone Number | 5747225151 |
| Fax Number | 5747391414 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 427-1-PIP |
|
Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
|
Post Comment/ Review Below
Could you provide the complete physical address where Four County Comprehensive Mental Health is located?
The Four County Comprehensive Mental Health is situated at the following address: 1015 Michigan Ave, Logansport, IN, 469471526.
What is Four County Comprehensive Mental Health's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Four County Comprehensive Mental Health's specialized field of practice is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc2200X.
On what date did Four County Comprehensive Mental Health receive its 1053387803 assignment from the Centers for Medicare & Medicaid Services?
The Four County Comprehensive Mental Health was assigned its 1053387803 on 2006-02-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
On what date did the Centers for Medicare & Medicaid Services assign the 1053387803 to Four County Comprehensive Mental Health?
The Centers for Medicare & Medicaid Services assigned the 1053387803 to Four County Comprehensive Mental Health on 2006-02-23.
As of what date was the information regarding Four County Comprehensive Mental Health, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Four County Comprehensive Mental Health, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.