Provider Demographics
NPI:1205881638
Name:HUMAN BEGINNINGS, INC.
Entity type:Organization
Organization Name:HUMAN BEGINNINGS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD/LCSW
Authorized Official - Phone:219-884-2285
Mailing Address - Street 1:4750 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:GARY
Mailing Address - State:IN
Mailing Address - Zip Code:46408-4508
Mailing Address - Country:US
Mailing Address - Phone:219-884-2285
Mailing Address - Fax:219-884-2246
Practice Address - Street 1:4750 BROADWAY
Practice Address - Street 2:
Practice Address - City:GARY
Practice Address - State:IN
Practice Address - Zip Code:46408-4508
Practice Address - Country:US
Practice Address - Phone:219-884-2285
Practice Address - Fax:219-884-2246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN35001077A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty