ABBA FATHERS CREATIONS CORP NPI 1992936223

NPI Information

NPI: 1992936223
Provider Name: ABBA FATHERS CREATIONS CORP

Doing Business As: MAKE IT LAST 4EVER CLINICAL FAMILY SERVICES MANAGEMENT CORP

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
120 E MARKET ST STE 460
INDIANAPOLIS, IN
ZIP 46204
Phone: (317) 660-2157
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ABBA FATHERS CREATIONS CORP is a mental health counselor in Indianapolis, IN. ABBA FATHERS CREATIONS CORP NPI is 1992936223. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Make It Last 4ever Clinical Family Services Management Corp.

The provider's business location address is:

120 E MARKET ST STE 460
INDIANAPOLIS, IN
ZIP 46204-282
Phone: (317) 660-2157
Fax: (317) 362-0460

The provider's authorized official is Sherri Luanne Kelley .
The authorized official title is Ceo and has the following contact phone number (317) 660-2157.

The enumeration date for this NPI number is 8/4/2009 and was last updated on 8/4/2009.

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	01033547	INDIANA	Yes

What is NPI?

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This page was last updated on: 4/28/2024

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