Provider Demographics
NPI:1841520129
Name:EACH ONE REACH ONE CHILD, INC.
Entity type:Organization
Organization Name:EACH ONE REACH ONE CHILD, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:BESSIE
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:HITCHCOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-387-6017
Mailing Address - Street 1:505 W. RIDGE ROAD ROAD
Mailing Address - Street 2:
Mailing Address - City:GARY
Mailing Address - State:IN
Mailing Address - Zip Code:46408-0100
Mailing Address - Country:US
Mailing Address - Phone:219-979-0900
Mailing Address - Fax:219-979-7615
Practice Address - Street 1:501 W RIDGE RD
Practice Address - Street 2:
Practice Address - City:GARY
Practice Address - State:IN
Practice Address - Zip Code:46408-2746
Practice Address - Country:US
Practice Address - Phone:219-979-0900
Practice Address - Fax:219-979-7615
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-08
Last Update Date:2010-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
INAPPLIED FOR LICENSE103K00000X
IN33001144A104100000X
IN35000561A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty