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NPI Code Detail

MEDICARE: GAYLE M HUMES LMHC

MEDICARE: GAYLE M HUMES LMHC
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
1101YM0800XMental Health Counselor39001700AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144295841
Entity Type Code : Individual
Provider Name (Legal Business Name) : GAYLE M HUMES LMHC
Provider Business Mailing Address
First Line : 8180 CLEARVISTA PARKWAY
Second Line : SUITE 230
City : INDIANAPOLIS
State : IN
Zip : 46256-4649
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7 EAST HENDRICKS STREET
Second Line :
City : SHELBYVILLE
State : IN
Zip : 46176-2124
Country : US
Telephone Number : 317-392-2564
Fax Number : 317-392-9545
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2006
Last Update Date : 11/07/2012

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