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NPI Code Detail

MEDICARE: ALECIA D HUDSON MA, LMFT

MEDICARE: ALECIA D HUDSON MA, LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist35002129AIN

General Provider Information

NPI Number : 1235739426
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALECIA D HUDSON MA, LMFT
Provider Business Mailing Address
First Line : 8606 ALLISONVILLE RD STE 120
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46250-3585
Country : US
Telephone Number : 317-951-9358
Fax Number : 317-663-2524
Provider Business Practice Location Address
First Line : 8606 ALLISONVILLE RD STE 120
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46250-3585
Country : US
Telephone Number : 317-951-9358
Fax Number : 317-663-2524
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2020
Last Update Date : 01/08/2024

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