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ACORN ADDICTION CENTERS LLC DBA JOURNEY ROAD TREATMENT CENTERS NPI 1467824698


NPI Information

NPI: 1467824698
Provider Name: ACORN ADDICTION CENTERS LLC DBA JOURNEY ROAD TREATMENT CENTERS

Doing Business As: JOURNEY ROAD TREATMENT CENTERS

Classification: Family Medicine - 207QA0401X
Entity Type: Organization

Specialization: Addiction Medicine

CLIA Number: 15D2112465

Address:
1201 N POST ROAD STE. 4
INDIANAPOLIS, IN
ZIP 46219
Phone: (317) 405-8833
Get Directions

ACORN ADDICTION CENTERS LLC DBA JOURNEY ROAD TREATMENT CENTERS is an addiction medicine family medicine in Indianapolis, IN. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. ACORN ADDICTION CENTERS LLC DBA JOURNEY ROAD TREATMENT CENTERS NPI is 1467824698. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Journey Road Treatment Centers.

The provider's business location address is:

1201 N POST ROAD STE. 4
INDIANAPOLIS, IN
ZIP 46219-225
Phone: (317) 405-8833
Fax: (317) 672-2398

The provider's authorized official is Mari Anna Shepherd .
The authorized official title is Director and has the following contact phone number (317) 405-8833.

The CLIA number assigned to this NPI record is 15D2112465 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/27/2015 and was last updated on 1/17/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QA0401XFamily MedicineAddiction MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1IN2829OTHERINDIANAPTAN
2300025348MEDICAIDINDIANA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.