Healthcare Provider Details

I. General information

NPI: 1487582938
Provider Name (Legal Business Name): HEALING YOUR HIDDEN HURTS WELLNESS COMMUNITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14373 WORTHINGTON BLVD
FISHERS IN
46038
US

IV. Provider business mailing address

9783 E 116TH ST # A384
FISHERS IN
46037-2822
US

V. Phone/Fax

Practice location:
  • Phone: 317-284-9267
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: CAMISHE NUNLEY
Title or Position: MEMBER
Credential:
Phone: 317-284-9267