Healthcare Provider Details

I. General information

NPI: 1962919886
Provider Name (Legal Business Name): IN SESSION COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2017
Last Update Date: 09/30/2021
Certification Date: 09/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2842 45TH ST STE A
HIGHLAND IN
46322-2986
US

IV. Provider business mailing address

2842 45TH ST STE A
HIGHLAND IN
46322-2986
US

V. Phone/Fax

Practice location:
  • Phone: 219-228-8799
  • Fax: 815-725-1284
Mailing address:
  • Phone: 219-228-8799
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number39002289A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number180008040
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MRS. YANEISHA GRAHAM LOZANO
Title or Position: OWNER
Credential: LCPC, LMHC
Phone: 219-228-8799