| Living Well In Company | |
|
6284 Rucker Rd Suite N Indianapolis IN 46220-4865 | |
| (317) 475-1389 | |
| (317) 475-9089 |
| Full Name | Living Well In Company |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 6284 Rucker Rd, Indianapolis, Indiana |
| Authorized Official Name and Position | Paul Nelson George (PRESIDENT) |
| Authorized Official Contact | 3174751389 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Well In Company 6284 Rucker Rd Suite N Indianapolis IN 46220-4865 Ph: (317) 475-1389 | Living Well In Company 6284 Rucker Rd Suite N Indianapolis IN 46220-4865 Ph: (317) 475-1389 |
| NPI Number | 1205173952 |
|---|---|
| Provider Enumeration Date | 01/14/2013 |
| Last Update Date | 01/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205173952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 34002279A (Indiana) | Primary |
| 225100000X | Physical Therapist | 05000996A (Indiana) | Secondary |
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