| Laus Deo, Llc | |
|
7425 E 86th St Indianapolis IN 46256-1207 | |
| (317) 474-6448 | |
| (317) 468-9905 |
| Full Name | Laus Deo, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 7425 E 86th St, Indianapolis, Indiana |
| Authorized Official Name and Position | Sally Groff (PRESIDENT) |
| Authorized Official Contact | 3174746448 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Laus Deo, Llc 7425 E 86th St Indianapolis IN 46256-1207 Ph: (317) 474-6448 | Laus Deo, Llc 7425 E 86th St Indianapolis IN 46256-1207 Ph: (317) 474-6448 |
| NPI Number | 1699394296 |
|---|---|
| Provider Enumeration Date | 04/13/2020 |
| Last Update Date | 04/13/2020 |
| Certification Date | 04/13/2020 |
| Medicare PECOS PAC ID | 2961849369 |
|---|---|
| Medicare Enrollment ID | O20240321000251 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699394296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Sally Elaine Groff |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1861603888 PECOS PAC ID: 4789021189 Enrollment ID: I20240321000285 |
| Provider Name | Catherine Appleton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801087200 PECOS PAC ID: 2365985660 Enrollment ID: I20240614001588 |
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