Provider Demographics
NPI:1962585778
Name:ENHANCE, INC.
Entity type:Organization
Organization Name:ENHANCE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIOR CONSULTANT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:SHEPHERD
Authorized Official - Suffix:
Authorized Official - Credentials:MASTERS OF SCIENCE
Authorized Official - Phone:812-524-2238
Mailing Address - Street 1:1636 WINDSOR CT
Mailing Address - Street 2:PO BOX 1252
Mailing Address - City:SEYMOUR
Mailing Address - State:IN
Mailing Address - Zip Code:47274-1984
Mailing Address - Country:US
Mailing Address - Phone:812-524-2238
Mailing Address - Fax:775-908-9421
Practice Address - Street 1:1636 WINDSOR CT
Practice Address - Street 2:1636 WINDSOR COURT
Practice Address - City:SEYMOUR
Practice Address - State:IN
Practice Address - Zip Code:47274-1984
Practice Address - Country:US
Practice Address - Phone:812-524-2238
Practice Address - Fax:775-908-9421
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-23
Last Update Date:2007-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty