Healthcare Provider Details

I. General information

NPI: 1295646362
Provider Name (Legal Business Name): GROVES YOUTH & FAMILY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6051 PILLORY DR
INDIANAPOLIS IN
46254-5041
US

IV. Provider business mailing address

6051 PILLORY DR
INDIANAPOLIS IN
46254-5041
US

V. Phone/Fax

Practice location:
  • Phone: 317-603-7713
  • Fax:
Mailing address:
  • Phone: 317-603-7713
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MR. TOBAS ANTHONY GROVES
Title or Position: OWNER/MEMBER
Credential:
Phone: 317-603-7713