Healthcare Provider Details

I. General information

NPI: 1366314171
Provider Name (Legal Business Name): EMPATHY HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2025
Last Update Date: 09/22/2025
Certification Date: 09/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14675 CHRISTIE ANN DR
FISHERS IN
46040-9682
US

IV. Provider business mailing address

14675 CHRISTIE ANN DR
FISHERS IN
46040-9682
US

V. Phone/Fax

Practice location:
  • Phone: 317-676-9952
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MERCY MOTO
Title or Position: OWNER
Credential: NURSE PRACTITIONER
Phone: 732-861-3749