Healthcare Provider Details

I. General information

NPI: 1194517094
Provider Name (Legal Business Name): CHILDREN INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2025
Last Update Date: 05/28/2025
Certification Date: 05/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

715 MCCLURE RD
COLUMBUS IN
47201-6610
US

IV. Provider business mailing address

715 MCCLURE RD
COLUMBUS IN
47201-6610
US

V. Phone/Fax

Practice location:
  • Phone: 812-379-2319
  • Fax:
Mailing address:
  • Phone: 812-379-2319
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MEGAN TATLOCK
Title or Position: ADMINISTRATOR
Credential:
Phone: 812-379-2319