| Lunar Oasis, Llc | |
|
5401 S East St Ste 207 Indianapolis IN 46227-2092 | |
| (317) 679-4181 | |
| Not Available |
| Full Name | Lunar Oasis, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 5401 S East St Ste 207, Indianapolis, Indiana |
| Authorized Official Name and Position | Elizabeth Everett (DIRECTOR) |
| Authorized Official Contact | 3176794181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lunar Oasis, Llc 6360 Avalon Blvd Avon IN 46123-9706 Ph: (317) 679-4181 | Lunar Oasis, Llc 5401 S East St Ste 207 Indianapolis IN 46227-2092 Ph: (317) 679-4181 |
| NPI Number | 1326549098 |
|---|---|
| Provider Enumeration Date | 02/27/2018 |
| Last Update Date | 02/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326549098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 35001938A (Indiana) | Primary |
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