| Light Of Hope Wellness And Counseling | |
|
3145 45th St Ste G Highland IN 46322-3292 | |
| (331) 277-8585 | |
| Not Available |
| Full Name | Light Of Hope Wellness And Counseling |
|---|---|
| Speciality | Clinic/Center |
| Location | 3145 45th St Ste G, Highland, Indiana |
| Authorized Official Name and Position | Hector R Zavala (OWNER) |
| Authorized Official Contact | 3312778585 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Light Of Hope Wellness And Counseling 1803 Norwood Dr Griffith IN 46319-1131 Ph: (331) 277-8585 | Light Of Hope Wellness And Counseling 3145 45th St Ste G Highland IN 46322-3292 Ph: (331) 277-8585 |
| NPI Number | 1053198804 |
|---|---|
| Provider Enumeration Date | 09/13/2023 |
| Last Update Date | 02/02/2025 |
| Certification Date | 02/02/2025 |
| Medicare PECOS PAC ID | 0840725834 |
|---|---|
| Medicare Enrollment ID | O20250102001046 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053198804 | NPI | - | NPPES |
| 300088363 | Medicaid | IN |
| Provider Name | Hector R Zavala |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679852255 PECOS PAC ID: 1759816747 Enrollment ID: I20250102001184 |
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