Healthcare Provider Details

I. General information

NPI: 1902717754
Provider Name (Legal Business Name): APPA'S HOUSE CHILDREN'S COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2026
Last Update Date: 09/12/2026
Certification Date: 09/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

695 PRO MED LN STE 106
CARMEL IN
46032-5327
US

IV. Provider business mailing address

13860 PERRIN DR
CARMEL IN
46032-5267
US

V. Phone/Fax

Practice location:
  • Phone: 317-688-8855
  • Fax:
Mailing address:
  • Phone: 317-688-8855
  • 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: SARAH L BRUBAKER
Title or Position: OWNER
Credential: LCSW
Phone: 317-688-8855