Provider Demographics
NPI:1700134905
Name:LIVING HOPE COUNSELING AND CONSULTING INC
Entity Type:Organization
Organization Name:LIVING HOPE COUNSELING AND CONSULTING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELING
Authorized Official - Prefix:MR
Authorized Official - First Name:JELILI
Authorized Official - Middle Name:O
Authorized Official - Last Name:FAKUNMOJU
Authorized Official - Suffix:
Authorized Official - Credentials:EDM
Authorized Official - Phone:317-291-9388
Mailing Address - Street 1:6350 WESTHAVEN DR STE F
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46254-2731
Mailing Address - Country:US
Mailing Address - Phone:317-291-9388
Mailing Address - Fax:317-291-9389
Practice Address - Street 1:6350 WESTHAVEN DR STE F
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46254-2731
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:2012-08-17
Last Update Date:2012-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No251300000XAgenciesLocal Education Agency (LEA)
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No251K00000XAgenciesPublic Health or Welfare
No253Z00000XAgenciesIn Home Supportive Care