Healthcare Provider Details

I. General information

NPI: 1194408112
Provider Name (Legal Business Name): HALCYON HEALTH CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2023
Last Update Date: 08/08/2023
Certification Date: 08/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13110 HARRELL PKWY STE 101
NOBLESVILLE IN
46060-3312
US

IV. Provider business mailing address

13110 HARRELL PKWY STE 101
NOBLESVILLE IN
46060-3312
US

V. Phone/Fax

Practice location:
  • Phone: 317-426-6831
  • Fax:
Mailing address:
  • Phone: 317-426-6831
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ERICA MICHELLE WEBER
Title or Position: PRESIDENT
Credential: MD
Phone: 317-426-6831