| Make It Last 4ever Clinical Family Services Management Corp | |
|
120 E Market St Ste 460 Indianapolis IN 46204-3282 | |
| (317) 660-2157 | |
| (317) 362-0460 |
| Full Name | Make It Last 4ever Clinical Family Services Management Corp |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 120 E Market St Ste 460, Indianapolis, Indiana |
| Authorized Official Name and Position | Sherri Luanne Kelley (CEO) |
| Authorized Official Contact | 3176602157 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Make It Last 4ever Clinical Family Services Management Corp 120 E Market St Ste 460 Indianapolis IN 46204-3282 Ph: (317) 660-2157 | Make It Last 4ever Clinical Family Services Management Corp 120 E Market St Ste 460 Indianapolis IN 46204-3282 Ph: (317) 660-2157 |
| NPI Number | 1992936223 |
|---|---|
| Provider Enumeration Date | 08/04/2009 |
| Last Update Date | 08/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992936223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 01033547 (Indiana) | Primary |
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