Healthcare Provider Details

I. General information

NPI: 1144157611
Provider Name (Legal Business Name): INNER CORE HEALTH & WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 CONGRESSIONAL BLVD SUITE 350
CARMEL IN
46032-5609
US

IV. Provider business mailing address

550 CONGRESSIONAL BLVD SUITE 350
CARMEL IN
46032-5609
US

V. Phone/Fax

Practice location:
  • Phone: 317-258-5199
  • Fax:
Mailing address:
  • Phone: 317-258-5199
  • Fax: 317-258-5199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name: LAKESHA ANTOINETTE CUNNINGHAM
Title or Position: FNP/FOUNDER
Credential: FNP
Phone: 317-258-5199