| Rraine Llc | |
|
2346 S Lynhurst Dr Ste E101 Indianapolis IN 46241-5169 | |
| (317) 771-1237 | |
| Not Available |
| Full Name | Rraine Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 2346 S Lynhurst Dr Ste E101, Indianapolis, Indiana |
| Authorized Official Name and Position | Deserie Brown (OWNER) |
| Authorized Official Contact | 3177711237 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rraine Llc 9702 E Washington St Ste 400-304 Indianapolis IN 46229-3611 Ph: () - | Rraine Llc 2346 S Lynhurst Dr Ste E101 Indianapolis IN 46241-5169 Ph: (317) 771-1237 |
| NPI Number | 1053900746 |
|---|---|
| Provider Enumeration Date | 01/16/2021 |
| Last Update Date | 02/01/2024 |
| Certification Date | 02/01/2024 |
| Medicare PECOS PAC ID | 2163871054 |
|---|---|
| Medicare Enrollment ID | O20231218003525 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053900746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Indya Peoples |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891252664 PECOS PAC ID: 6608225594 Enrollment ID: I20231219002401 |
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