Provider Demographics
NPI:1841013471
Name:HOCHGESANG MODERN THERAPY, INC.
Entity type:Organization
Organization Name:HOCHGESANG MODERN THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LUKE
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:HOCHGESANG
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, NCC
Authorized Official - Phone:812-631-3841
Mailing Address - Street 1:2400 N 350W
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:IN
Mailing Address - Zip Code:47546-8834
Mailing Address - Country:US
Mailing Address - Phone:812-631-3841
Mailing Address - Fax:
Practice Address - Street 1:2400 N 350W
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:IN
Practice Address - Zip Code:47546-8834
Practice Address - Country:US
Practice Address - Phone:812-631-3841
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-04
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty