HEALING SELF THERAPY LLC NPI 1922773266

NPI Information

NPI: 1922773266
Provider Name: HEALING SELF THERAPY LLC
Classification: Clinic/Center - 261QM0850X
Specialization: Adult Mental Health
Entity Type: Organization
Address: 9165 OTIS AVE STE 216
INDIANAPOLIS, IN
ZIP 46216
Phone: (317) 868-1979

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NPI Details

HEALING SELF THERAPY LLC is an adult mental health clinic center in Indianapolis, IN. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. HEALING SELF THERAPY LLC NPI is 1922773266. The provider is registered as an organization entity type.

The provider's business location address is:

9165 OTIS AVE STE 216
INDIANAPOLIS, IN
ZIP 46216-316
Phone: (317) 868-1979

The provider's authorized official is Rachael Bain .
The authorized official title is Owner/lcsw and has the following contact phone number (317) 238-0709.

The enumeration date for this NPI number is 8/10/2021 and was last updated on 8/10/2021.

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	261QM0855X	Clinic/Center	Adolescent and Children Mental Health			No
2	261QM0850X	Clinic/Center	Adult Mental Health			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	300044689	MEDICAID	INDIANA

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: 11/21/2025

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