Healthcare Provider Details

I. General information

NPI: 1972524031
Provider Name (Legal Business Name): HARCOURT COUNSELING SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2006
Last Update Date: 10/01/2024
Certification Date: 10/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 E 3RD ST
RUSHVILLE IN
46173-1839
US

IV. Provider business mailing address

117 E 3RD ST
RUSHVILLE IN
46173-1839
US

V. Phone/Fax

Practice location:
  • Phone: 765-932-5905
  • Fax: 765-938-4545
Mailing address:
  • Phone: 765-932-5905
  • Fax: 765-938-4545

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ADAM JARMAN
Title or Position: OWNER
Credential: MA, LMHC
Phone: 765-932-5905