MEDICARE: DEBORAH H HODSON LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	39000136	IN
2	1041C0700X	Clinical Social Worker	39000136A	IN

General Provider Information

NPI Number	:	1013965870
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH H HODSON LMHC

Provider Business Mailing Address
First Line	:	8920 SOUTHPOINTE DR STE E1
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46227-7505
Country	:	US
Telephone Number	:	317-851-1004
Fax Number	:	317-386-7695

Provider Business Practice Location Address
First Line	:	8920 SOUTHPOINTE DR STE E1
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46227-7505
Country	:	US
Telephone Number	:	317-851-1004
Fax Number	:	317-386-7695

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	05/09/2023

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