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9465 Counselors Row Ste 200 Indianapolis IN 46240-3817 | |
| (765) 400-8652 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 9465 Counselors Row Ste 200, Indianapolis, Indiana |
| Authorized Official Name and Position | Patience Pinky Carter (OWNER) |
| Authorized Official Contact | 7654008652 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
9465 Counselors Row Ste 200 Indianapolis IN 46240-3817 Ph: (765) 400-8652 | 9465 Counselors Row Ste 200 Indianapolis IN 46240-3817 Ph: (765) 400-8652 |
| NPI Number | 1295293389 |
|---|---|
| Provider Enumeration Date | 03/07/2019 |
| Last Update Date | 04/06/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295293389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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