Healthcare Provider Details

I. General information

NPI: 1699630012
Provider Name (Legal Business Name): TANDEM BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 MARKET ST
CHARLESTOWN IN
47111-1971
US

IV. Provider business mailing address

950 MARKET ST
CHARLESTOWN IN
47111-1971
US

V. Phone/Fax

Practice location:
  • Phone: 502-536-9449
  • Fax: 812-227-6994
Mailing address:
  • Phone: 502-536-9449
  • Fax: 812-227-6994

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: HOPE HULING
Title or Position: MEMBER
Credential: PSYD
Phone: 502-498-7453