=====================================================
General NPI Number Information
=====================================================
NPI Number | 1043182892
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HIGHLAND HEIGHTS FOUNDATION, INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/22/2025
-----------------------------------------------------
Last Update Date | 09/22/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1215 E COUNTY ROAD 650 S
-----------------------------------------------------
City | FRANKFORT
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 46041-8688
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 765-237-2112
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1215 E COUNTY ROAD 650 S
-----------------------------------------------------
City | FRANKFORT
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 46041-8688
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 765-237-2112
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | EXECUTIVE DIRECTOR
-----------------------------------------------------
Name | EVAN OVERBAY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 765-237-2112
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------