Healthcare Provider Details

I. General information

NPI: 1437774114
Provider Name (Legal Business Name): ABOUNDING JOY COUNSELING & WELLNESS SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2020
Last Update Date: 06/16/2020
Certification Date: 06/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6401 ZIONSVILLE RD
INDIANAPOLIS IN
46268-2459
US

IV. Provider business mailing address

6401 ZIONSVILLE RD
INDIANAPOLIS IN
46268-2459
US

V. Phone/Fax

Practice location:
  • Phone: 327-643-4997
  • Fax: 855-933-2297
Mailing address:
  • Phone: 317-643-4997
  • Fax: 855-933-2297

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CARLA SHARON PERKINS
Title or Position: OWNER/CEO
Credential: LCSW
Phone: 301-455-7750