Healthcare Provider Details

I. General information

NPI: 1386598126
Provider Name (Legal Business Name): BEAUTY FOR ASHES COUNSELING AND CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2026
Last Update Date: 04/10/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6061 E 82ND ST
INDIANAPOLIS IN
46250-1524
US

IV. Provider business mailing address

9105 E 56TH ST STE J
INDIANAPOLIS IN
46216-2231
US

V. Phone/Fax

Practice location:
  • Phone: 317-500-4408
  • Fax:
Mailing address:
  • Phone: 317-500-4408
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: QIANA PAYNTER
Title or Position: OWNER/THERAPIST
Credential: LCSW
Phone: 317-507-9887