LISA DAVIS PECK NPI 1134572308

NPI Information

NPI: 1134572308
Provider Name: LISA DAVIS PECK
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
6644 GREENDALE LN
INDIANAPOLIS, IN
ZIP 46241
Phone: (317) 919-8482
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LISA DAVIS PECK is an addiction (substance use disorder) counselor in Indianapolis, IN. LISA DAVIS PECK NPI is 1134572308. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

6644 GREENDALE LN
INDIANAPOLIS, IN
ZIP 46241-068
Phone: (317) 919-8482

The provider's authorized official is Lisa Marcella Davis Peck .
The authorized official title is Owner President and has the following contact phone number (317) 919-8482.

The enumeration date for this NPI number is 7/22/2016 and was last updated on 7/22/2016.

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	39001382A	INDIANA	No
2	106H00000X	Marriage & Family Therapist		35001131A	INDIANA	No
3	101YA0400X	Counselor	Addiction (Substance Use Disorder)	87001460A		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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