Providence House

NPI #1477603538 in Georgetown, Indiana

Provider Information

NPI Number: 1477603538
Entity Type: Organization
Organization Name: Providence House
Subpart: Yes (part of a larger organization)
Parent Organization: PROVIDENCE SELF SUFFICIENCY MINISTRIES, INC.
Primary Specialty: Psychologist - Clinical
Enumeration Date: Jan 11, 2007
Last Updated: Aug 22, 2024

Practice Location

Address: 8037 UNRUH DR
City: Georgetown
State: Indiana
ZIP Code: 47122-8759
Phone: (812) 951-1878

Authorized Official

Name: ELIZABETH PORTER ENGLAND, PSYD, HSPP
Title: EXECUTIVE DIRECTOR
Phone: (502) 224-0789

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X
Psychologist - Clinical — Clinical	103TC0700X	Primary

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