MEDICARE: BRIANA ANEY ADAMS MAMFT

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	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1053095273
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIANA ANEY ADAMS MAMFT

Provider Business Mailing Address
First Line	:	11458 PRESIDIO DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46235-8818
Country	:	US
Telephone Number	:	336-772-3790
Fax Number	:

Provider Business Practice Location Address
First Line	:	4016 S MERIDIAN ST STE B
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46217-3310
Country	:	US
Telephone Number	:	336-772-3790
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2023
Last Update Date	:	06/09/2023

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