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NPI Code Detail

MEDICARE: ADULT AND CHILD MENTAL HEALTH CENTER INC

MEDICARE: ADULT AND CHILD MENTAL HEALTH CENTER INC
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 CounselorIN
2251S00000XCommunity/Behavioral Health AgencyIN

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 : 1154368512
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADULT AND CHILD MENTAL HEALTH CENTER INC
Provider Business Mailing Address
First Line : 8320 MADISON AVENUE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46227-6066
Country : US
Telephone Number : 317-882-5122
Fax Number : 317-888-8642
Provider Business Practice Location Address
First Line : 8320 MADISON AVENUE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46227-6066
Country : US
Telephone Number : 317-882-5122
Fax Number : 317-888-8642
Authorized Official
Title or Position : VP MANAGED CARE
Name : AMANDA R CARTER
Credential :
Telephone Number : 417-761-5126
Provider Enumeration Date : 06/02/2006
Last Update Date : 01/09/2025

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Directions to “ADULT AND CHILD MENTAL HEALTH CENTER INC ” Practice Location

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