MEDICARE: LIVING HOPE COUNSELING AND CONSULTING INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251300000X	Local Education Agency (LEA)
2	251B00000X	Case Management Agency
3	251E00000X	Home Health Agency
4	251G00000X	Community Based Hospice Care Agency
5	251K00000X	Public Health or Welfare Agency
6	253Z00000X	In Home Supportive Care Agency
7	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1700134905
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIVING HOPE COUNSELING AND CONSULTING INC

Provider Business Mailing Address
First Line	:	6350 WESTHAVEN DR STE F
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46254-2731
Country	:	US
Telephone Number	:	317-291-9388
Fax Number	:	317-291-9389

Provider Business Practice Location Address
First Line	:	6350 WESTHAVEN DR STE F
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46254-2731
Country	:	US
Telephone Number	:	317-291-9388
Fax Number	:	317-291-9389

Authorized Official
Title or Position	:	COUNSELING
Name	:	MR. JELILI O. FAKUNMOJU
Credential	:	ED.M
Telephone Number	:	317-291-9388

Provider Enumeration Date	:	08/17/2012
Last Update Date	:	08/17/2012

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Directions to “LIVING HOPE COUNSELING AND CONSULTING INC ” Practice Location

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