Healthcare Provider Details

I. General information

NPI: 1245762483
Provider Name (Legal Business Name): M. & S. COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2017
Last Update Date: 03/28/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 E MONROE ST
FRANKLIN IN
46131-2313
US

IV. Provider business mailing address

111 E MONROE ST
FRANKLIN IN
46131-2313
US

V. Phone/Fax

Practice location:
  • Phone: 317-884-3144
  • Fax:
Mailing address:
  • Phone: 317-884-3144
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number StateIN

VIII. Authorized Official

Name: MELISSA SICHTING
Title or Position: OWNER/THERAPIST
Credential: LCSW, LCAC
Phone: 317-884-3144