Provider Demographics
NPI:1861673709
Name:ME AND MY HOUSE COUNSELING CENTER
Entity Type:Organization
Organization Name:ME AND MY HOUSE COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:LORRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WATSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:260-463-3700
Mailing Address - Street 1:777 N DETROIT ST
Mailing Address - Street 2:
Mailing Address - City:LAGRANGE
Mailing Address - State:IN
Mailing Address - Zip Code:46761-1111
Mailing Address - Country:US
Mailing Address - Phone:260-463-3700
Mailing Address - Fax:260-463-3600
Practice Address - Street 1:777 N DETROIT ST
Practice Address - Street 2:
Practice Address - City:LAGRANGE
Practice Address - State:IN
Practice Address - Zip Code:46761-1111
Practice Address - Country:US
Practice Address - Phone:260-463-3700
Practice Address - Fax:260-463-3600
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LAGRANGE FIRST CHURCH OF GOD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-11-20
Last Update Date:2015-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN35001633A251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health