MEDICARE: CENTERPOINT COUNSELING

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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1326688136
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTERPOINT COUNSELING

Provider Business Mailing Address
First Line	:	7700 N MERIDIAN ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46260-3652
Country	:	US
Telephone Number	:	317-252-5518
Fax Number	:

Provider Business Practice Location Address
First Line	:	7700 N MERIDIAN ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46260-3652
Country	:	US
Telephone Number	:	317-252-5518
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	DR. DAVID CHADDOCK
Credential	:	LCSW, LMFT
Telephone Number	:	317-252-5518

Provider Enumeration Date	:	01/09/2020
Last Update Date	:	01/09/2020

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Directions to “CENTERPOINT COUNSELING ” Practice Location

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