MEDICARE: MAKIA COUNSELING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1013618669
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAKIA COUNSELING LLC

Provider Business Mailing Address
First Line	:	402 W MAIN ST
Second Line	:
City	:	GREENWOOD
State	:	IN
Zip	:	46142-3115
Country	:	US
Telephone Number	:	317-961-3434
Fax Number	:

Provider Business Practice Location Address
First Line	:	402 W MAIN ST
Second Line	:
City	:	GREENWOOD
State	:	IN
Zip	:	46142-3115
Country	:	US
Telephone Number	:	317-961-3434
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ERICA GREEN
Credential	:
Telephone Number	:	317-961-3434

Provider Enumeration Date	:	03/10/2023
Last Update Date	:	01/15/2026

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