Provider Demographics
NPI:1659633758
Name:LIVINGHOPE CONSULTING & COUNSELING INC.
Entity Type:Organization
Organization Name:LIVINGHOPE CONSULTING & COUNSELING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ADETUNJI
Authorized Official - Middle Name:SAMUEL
Authorized Official - Last Name:ADEYANJU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-937-9676
Mailing Address - Street 1:6350 WESTHAVEN DR
Mailing Address - Street 2:SUITE F
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46254-2744
Mailing Address - Country:US
Mailing Address - Phone:317-291-9388
Mailing Address - Fax:317-291-9389
Practice Address - Street 1:6350 WESTHAVEN DR
Practice Address - Street 2:SUITE F
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46254-2744
Practice Address - Country:US
Practice Address - Phone:317-291-9388
Practice Address - Fax:317-291-9389
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-13
Last Update Date:2012-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No252Y00000XAgenciesEarly Intervention Provider Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201055060 AMedicaid