Provider Demographics
NPI:1437510385
Name:OPEN ARMS COUNSELING, INC.
Entity Type:Organization
Organization Name:OPEN ARMS COUNSELING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:A
Authorized Official - Last Name:KAMP
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:765-447-7146
Mailing Address - Street 1:911 N 18TH ST
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47904-2288
Mailing Address - Country:US
Mailing Address - Phone:765-447-7146
Mailing Address - Fax:765-447-4932
Practice Address - Street 1:911 N 18TH ST
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47904-2288
Practice Address - Country:US
Practice Address - Phone:765-447-7146
Practice Address - Fax:765-447-4932
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-18
Last Update Date:2016-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN340003841A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty