| Hoback Counseling Llc | |
|
245 W Johnson Rd La Porte IN 46350-2026 | |
| (219) 369-4870 | |
| Not Available |
| Full Name | Hoback Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 245 W Johnson Rd, La Porte, Indiana |
| Authorized Official Name and Position | Nancy Hoback (OWNER) |
| Authorized Official Contact | 2193694870 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hoback Counseling Llc 245 W Johnson Rd La Porte IN 46350-2026 Ph: (219) 369-4870 | Hoback Counseling Llc 245 W Johnson Rd La Porte IN 46350-2026 Ph: (219) 369-4870 |
| NPI Number | 1720386949 |
|---|---|
| Provider Enumeration Date | 03/11/2011 |
| Last Update Date | 03/11/2011 |
| Medicare PECOS PAC ID | 1759565856 |
|---|---|
| Medicare Enrollment ID | O20110414000522 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720386949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Nancy Hoback |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457483596 PECOS PAC ID: 2668656760 Enrollment ID: I20110414000554 |
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