Provider Demographics
NPI:1801642020
Name:MEAN IT COUNSELING SERVICE, LLC
Entity type:Organization
Organization Name:MEAN IT COUNSELING SERVICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNMARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTOS
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:219-262-1800
Mailing Address - Street 1:PO BOX 2488
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:IN
Mailing Address - Zip Code:46323-0488
Mailing Address - Country:US
Mailing Address - Phone:219-262-1800
Mailing Address - Fax:219-262-1818
Practice Address - Street 1:710 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:MICHIGAN CITY
Practice Address - State:IN
Practice Address - Zip Code:46360-3563
Practice Address - Country:US
Practice Address - Phone:219-262-1800
Practice Address - Fax:219-262-1818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-29
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN1841515228OtherNPI