Healthcare Provider Details

I. General information

NPI: 1851218606
Provider Name (Legal Business Name): ANJALI SINGH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1494 BROYLES LN
INDIANAPOLIS IN
46231-1628
US

IV. Provider business mailing address

1494 BROYLES LN
INDIANAPOLIS IN
46231-1628
US

V. Phone/Fax

Practice location:
  • Phone: 317-800-0002
  • Fax:
Mailing address:
  • Phone: 317-800-0002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number39006037A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: