Healthcare Provider Details

I. General information

NPI: 1922903244
Provider Name (Legal Business Name): ALISHA LUDWIG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8202 CLEARVISTA PKWY STE 6D
INDIANAPOLIS IN
46256-1442
US

IV. Provider business mailing address

8202 CLEARVISTA PKWY STE 6D
INDIANAPOLIS IN
46256-1442
US

V. Phone/Fax

Practice location:
  • Phone: 317-562-0942
  • Fax:
Mailing address:
  • Phone: 317-562-0942
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number88002413A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: