PATHWAY TO EQUANIMITY LLC NPI 1093019812

NPI Information

NPI: 1093019812
Provider Name: PATHWAY TO EQUANIMITY, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
3905 VINCENNES RD
TEN FORTUNE PARK, SUITE 303
INDIANAPOLIS, IN
ZIP 46268
Phone: (317) 471-3522
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PATHWAY TO EQUANIMITY, LLC is a mental health counselor in Indianapolis, IN. PATHWAY TO EQUANIMITY, LLC NPI is 1093019812. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3905 VINCENNES RD
TEN FORTUNE PARK, SUITE 303
INDIANAPOLIS, IN
ZIP 46268-026
Phone: (317) 471-3522
Fax: (317) 471-3508

The provider's authorized official is Unchana Thamasak .
The authorized official title is Operating Manager and has the following contact phone number (317) 371-2373.

The enumeration date for this NPI number is 1/8/2011 and was last updated on 1/8/2011.

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	39000112A	INDIANA	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: 4/28/2024

NPI Synchronization or Removal

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