Healthcare Provider Details

I. General information

NPI: 1659133874
Provider Name (Legal Business Name): NRARH INDY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2024
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7002 GRAHAM RD STE 223
INDIANAPOLIS IN
46220-4050
US

IV. Provider business mailing address

7002 GRAHAM RD STE 223
INDIANAPOLIS IN
46220-4050
US

V. Phone/Fax

Practice location:
  • Phone: 317-563-1117
  • Fax: 317-608-3436
Mailing address:
  • Phone: 317-563-1117
  • Fax: 317-608-3436

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: CHANTEL WHITE
Title or Position: THERAPIST/OWNER
Credential: LCSW
Phone: 765-702-4111