| Fountain Square Counseling Llc | |
|
735 Shelby St Ste 103 Indianapolis IN 46203-1167 | |
| (317) 680-2424 | |
| Not Available |
| Full Name | Fountain Square Counseling Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 735 Shelby St Ste 103, Indianapolis, Indiana |
| Authorized Official Name and Position | Megan Ann Flinn (CLINICAL DIRECTOR) |
| Authorized Official Contact | 3176802424 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fountain Square Counseling Llc 735 Shelby St Ste 103 Indianapolis IN 46203-1167 Ph: (317) 680-2424 | Fountain Square Counseling Llc 735 Shelby St Ste 103 Indianapolis IN 46203-1167 Ph: (317) 680-2424 |
| NPI Number | 1376240333 |
|---|---|
| Provider Enumeration Date | 02/10/2023 |
| Last Update Date | 02/10/2023 |
| Certification Date | 02/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376240333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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