Provider Demographics
NPI:1851276745
Name:PRELUDE BEHAVIORAL COUNSELING, LLC
Entity type:Organization
Organization Name:PRELUDE BEHAVIORAL COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:NATHANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HICKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LMHC
Authorized Official - Phone:812-599-2709
Mailing Address - Street 1:545 CHRISTY DR STE 142
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46143-1086
Mailing Address - Country:US
Mailing Address - Phone:812-599-2709
Mailing Address - Fax:
Practice Address - Street 1:545 CHRISTY DR STE 142
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46143-1086
Practice Address - Country:US
Practice Address - Phone:812-599-2709
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-08
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty