Healthcare Provider Details

I. General information

NPI: 1174339501
Provider Name (Legal Business Name): JEWISH FEDERATION OF GREATER INDIANAPOLIS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2024
Last Update Date: 12/10/2024
Certification Date: 12/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6905 HOOVER RD
INDIANAPOLIS IN
46260-4124
US

IV. Provider business mailing address

6905 HOOVER RD
INDIANAPOLIS IN
46260-4124
US

V. Phone/Fax

Practice location:
  • Phone: 317-259-6822
  • 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
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: JULIE SONDHELM
Title or Position: CLINICAL DIRECTOR
Credential: LCSW
Phone: 317-536-1476