Healthcare Provider Details

I. General information

NPI: 1437969268
Provider Name (Legal Business Name): ROOT & MIND COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2025
Last Update Date: 01/13/2025
Certification Date: 01/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14074 TRADE CENTER DR STE 231
FISHERS IN
46038-4577
US

IV. Provider business mailing address

14499 SAMOA ST
FISHERS IN
46038-5210
US

V. Phone/Fax

Practice location:
  • Phone: 513-571-8176
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: AMANDA HELFRICH-KUHN
Title or Position: CEO
Credential: LCSW
Phone: 513-571-8176