Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Providence House

Organization Clinical Psychologist · NPI 1477603538

Providence House is a Clinical Psychologist in Georgetown, Indiana. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
2

Practice location Address checks out

8037 Unruh Dr
Georgetown, IN 47122-8759
Phone: (812) 951-1878
Fax: (812) 951-0398
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X
Mental Illness Community Based Residential Treatment Facility Taxonomy 320800000X

Record details

NPI number1477603538
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationProvidence Self Sufficiency Ministries, Inc
Authorized official Elizabeth England — Executive Director · (502) 224-0789
Other names Guerin Woods
NPI enumeratedJanuary 11, 2007
Last updated in NPPESAugust 22, 2024
Certification dateAugust 15, 2024
Mailing address8037 Unruh Dr, Georgetown, IN 47122-8759

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