Healthcare Provider Details

I. General information

NPI: 1821607862
Provider Name (Legal Business Name): ATLAS THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2020
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3021 E 98TH ST STE 140
CARMEL IN
46280-1964
US

IV. Provider business mailing address

3021 E 98TH ST STE 140
CARMEL IN
46280-1964
US

V. Phone/Fax

Practice location:
  • Phone: 317-214-0863
  • Fax: 317-792-5037
Mailing address:
  • Phone: 317-214-0863
  • Fax: 317-792-5037

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: SHARAYAH TORNQUIST
Title or Position: OWNER
Credential:
Phone: 317-214-0863