STATE OF MIND THERAPY & COACHING LLC NPI 1063131530

NPI Information

NPI: 1063131530
Provider Name: STATE OF MIND THERAPY & COACHING LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
450 E 96TH ST STE 500
INDIANAPOLIS, IN
ZIP 46240
Phone: (317) 680-8009
Get Directions

STATE OF MIND THERAPY & COACHING LLC is a mental health counselor in Indianapolis, IN. STATE OF MIND THERAPY & COACHING LLC NPI is 1063131530. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

450 E 96TH ST STE 500
INDIANAPOLIS, IN
ZIP 46240-760
Phone: (317) 680-8009
Fax: (317) 561-9006

The provider's authorized official is Jessica Heather Davis .
The authorized official title is Mental Health Counselor/owner and has the following contact phone number (317) 680-8009.

The enumeration date for this NPI number is 8/26/2022 and was last updated on 8/26/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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