| Guiding Light Therapy Center Llc | |
|
2555 55th Pl Ste 202 Indianapolis IN 46220-3550 | |
| (317) 694-2744 | |
| Not Available |
| Full Name | Guiding Light Therapy Center Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2555 55th Pl Ste 202, Indianapolis, Indiana |
| Authorized Official Name and Position | Shalonda Allison (OWNER/THERAPIST) |
| Authorized Official Contact | 3176942744 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Guiding Light Therapy Center Llc 8743 Oakcrest Dr Mccordsville IN 46055-5557 Ph: (317) 694-2744 | Guiding Light Therapy Center Llc 2555 55th Pl Ste 202 Indianapolis IN 46220-3550 Ph: (317) 694-2744 |
| NPI Number | 1699474148 |
|---|---|
| Provider Enumeration Date | 02/23/2023 |
| Last Update Date | 02/23/2023 |
| Certification Date | 02/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699474148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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