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Providence House
Mental Illness Community Based Residential Treatment Facility in Georgetown, Indiana
NPI 1477603538

Providence House is a Mental Illness Community Based Residential Treatment Facility based in Georgetown, IN. Providence House practices in Georgetown, IN. The NPI Number for Providence House is 1477603538 and holds a License No. (Indiana).

The current practice location address for Providence House is 8037 Unruh Dr, Georgetown, IN and can be reached out via phone at 812-951-1878 and via fax at 812-951-0398.

Location: 8037 Unruh Dr, Georgetown, IN, 47122-8759
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477603538
Provider Name
Providence House
Credential
Provider Entity Type
Organization
Address
8037 Unruh Dr, Georgetown, IN, 47122-8759
Phone Number
812-951-1878
Fax Number
812-951-0398
Provider Enumeration Date
01/11/2007
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
200358070 05 IN
institution
Provider Business Practice Location Address Details
Address
8037 Unruh Dr
City
Georgetown
State
Indiana
Zip
47122-8759
Phone Number
812-951-1878
Fax Number
812-951-0398
person
Provider Business Mailing Address Details
Address
8037 Unruh Dr
City
Georgetown
State
Indiana
Zip
47122-8759
Phone Number
812-951-1878
Fax Number
812-951-0398
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
()
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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