| 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 |
| Location | 5660 Caito Dr Ste 126, Indianapolis, Indiana |
| Authorized Official Name and Position | Julie A Timke (OWNER) |
| Authorized Official Contact | 3174963704 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| 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 | 01/08/2025 |
| Certification Date | 01/08/2025 |
| Medicare PECOS PAC ID | 7517492697 |
|---|---|
| Medicare Enrollment ID | O20241126002915 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023368313 | NPI | - | NPPES |
| 100270530 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 34005352A (Indiana) | Primary |
| Provider Name | Julie A Timke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326169269 PECOS PAC ID: 9436471497 Enrollment ID: I20141201002168 |
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