| Indy Counseling Professionals Llc | |
|
5660 Caito Dr Ste 126 Indianapolis IN 46226-1368 | |
| (317) 207-6095 | |
| (317) 377-3103 |
| Full Name | Indy Counseling Professionals Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5660 Caito Dr Ste 126, Indianapolis, Indiana |
| Authorized Official Name and Position | Julie A Timke (OWNER) |
| Authorized Official Contact | 3174963704 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Indy Counseling Professionals Llc 5660 Caito Dr Ste 126 Indianapolis IN 46226-1368 Ph: (317) 207-6095 | Indy Counseling Professionals Llc 5660 Caito Dr Ste 126 Indianapolis IN 46226-1368 Ph: (317) 207-6095 |
| NPI Number | 1023368313 |
|---|---|
| Provider Enumeration Date | 09/13/2012 |
| Last Update Date | 10/16/2024 |
| Certification Date | 10/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023368313 | NPI | - | NPPES |
| 100270530 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 34005352A (Indiana) | Primary |
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