Provider Demographics
NPI:1801146261
Name:STRENGTH RENEWED COUNSELING SERVICES
Entity type:Organization
Organization Name:STRENGTH RENEWED COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ADA
Authorized Official - Middle Name:STEPHANIE
Authorized Official - Last Name:HOSIER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:317-413-4912
Mailing Address - Street 1:5660 CAITO DRIVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46226
Mailing Address - Country:US
Mailing Address - Phone:317-413-4912
Mailing Address - Fax:
Practice Address - Street 1:5660 CAITO DRIVE
Practice Address - Street 2:SUITE 122
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46226
Practice Address - Country:US
Practice Address - Phone:317-413-4912
Practice Address - Fax:317-377-3103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-13
Last Update Date:2014-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34001234A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty