Healthcare Provider Details

I. General information

NPI: 1295669265
Provider Name (Legal Business Name): M3 COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2680 E MAIN ST STE 323
PLAINFIELD IN
46168-2829
US

IV. Provider business mailing address

2123 GRADISON CT
INDIANAPOLIS IN
46214-2131
US

V. Phone/Fax

Practice location:
  • Phone: 317-690-0605
  • Fax:
Mailing address:
  • Phone: 317-690-0605
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MARY MARGARET MATHISON
Title or Position: LCSW
Credential: LCSW
Phone: 317-690-0605