Healthcare Provider Details

I. General information

NPI: 1861095317
Provider Name (Legal Business Name): CULTURE THRU EXPRESSIONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2020
Last Update Date: 04/24/2023
Certification Date: 04/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 E MARKET ST STE 480
INDIANAPOLIS IN
46204-3288
US

IV. Provider business mailing address

3119 N SHERMAN DR
INDIANAPOLIS IN
46218-2155
US

V. Phone/Fax

Practice location:
  • Phone: 317-551-5609
  • Fax:
Mailing address:
  • Phone: 317-551-5609
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. CHARLES MCMILLIAN
Title or Position: COUNSELOR
Credential:
Phone: 317-551-5609