Healthcare Provider Details

I. General information

NPI: 1154247526
Provider Name (Legal Business Name): AMINATA DIABY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 S ODELL ST
BROWNSBURG IN
46112-1929
US

IV. Provider business mailing address

6056 MADERA DR
WHITESTOWN IN
46075-7550
US

V. Phone/Fax

Practice location:
  • Phone: 765-595-0460
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: