| Ella, Inc. | |
|
2511 E 46th St Suite N4 Indianapolis IN 46205-2460 | |
| (317) 542-1473 | |
| (317) 542-1602 |
| Full Name | Ella, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2511 E 46th St, Indianapolis, Indiana |
| Authorized Official Name and Position | Letitia Vidette Beckett-haywood (PRESIDENT) |
| Authorized Official Contact | 3174601312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ella, Inc. 2511 E 46th St Suite N4 Indianapolis IN 46205-2460 Ph: (317) 542-1473 | Ella, Inc. 2511 E 46th St Suite N4 Indianapolis IN 46205-2460 Ph: (317) 542-1473 |
| NPI Number | 1174843460 |
|---|---|
| Provider Enumeration Date | 06/09/2010 |
| Last Update Date | 06/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174843460 | NPI | - | NPPES |
| 200936060A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 34005683A (Indiana) | Primary |
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