Hickory Grove Behavioral Services, LLC

NPI #1962218305 in La Porte, Indiana

Provider Information

NPI Number: 1962218305
Entity Type: Organization
Organization Name: Hickory Grove Behavioral Services, LLC
Primary Specialty: Counselor - Mental Health
Enumeration Date: Dec 10, 2024
Last Updated: Dec 10, 2024

Practice Location

Address: 101 W 18TH ST
City: La Porte
State: Indiana
ZIP Code: 46350-6830
Phone: (574) 265-4428

Authorized Official

Name: MR. ROBERT DALE OWENS II, LMHC
Title: OWNER
Phone: (574) 265-4428

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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