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BE AUTHENTIC INDY LLC NPI 1841901022


NPI Information

NPI: 1841901022
Provider Name: BE AUTHENTIC INDY LLC

Doing Business As: ELLIE MENTAL HEALTH

Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
9240 N MERIDIAN ST STE 270
INDIANAPOLIS, IN
ZIP 46260
Phone: (646) 241-6260
Get Directions

BE AUTHENTIC INDY LLC is a clinical social worker in Indianapolis, IN. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. BE AUTHENTIC INDY LLC NPI is 1841901022. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ellie Mental Health.

The provider's business location address is:

9240 N MERIDIAN ST STE 270
INDIANAPOLIS, IN
ZIP 46260-876
Phone: (646) 241-6260

The provider's authorized official is Tara England .
The authorized official title is Owner and has the following contact phone number (646) 241-6260.

The enumeration date for this NPI number is 12/8/2022 and was last updated on 1/12/2023.


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
11041C0700XSocial WorkerClinicalYes

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

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