| Indigo Therapy, Pllc | |
|
250 N Trade St Ste 205 Pmb 101 Matthews NC 28105 | |
| (980) 505-7097 | |
| Not Available |
| Full Name | Indigo Therapy, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 250 N Trade St Ste 205, Matthews, North Carolina |
| Authorized Official Name and Position | Natasha Pratt (OWNER) |
| Authorized Official Contact | 7046986643 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Indigo Therapy, Pllc 250 N Trade St Ste 205 Pmb 101 Matthews NC 28105 Ph: (980) 505-7097 | Indigo Therapy, Pllc 250 N Trade St Ste 205 Pmb 101 Matthews NC 28105 Ph: (980) 505-7097 |
| NPI Number | 1063220580 |
|---|---|
| Provider Enumeration Date | 12/30/2024 |
| Last Update Date | 12/30/2024 |
| Certification Date | 12/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063220580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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