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NPI Code Detail

MEDICARE: SOFIA VERALDI LMHCA

MEDICARE: SOFIA VERALDI LMHCA
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 Counselor88002171AIN

General Provider Information

NPI Number : 1194596684
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOFIA VERALDI LMHCA
Provider Business Mailing Address
First Line : 6755 WASHINGTON BLVD W
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46220-1056
Country : US
Telephone Number : 317-809-7808
Fax Number :
Provider Business Practice Location Address
First Line : 6524 CARROLLTON AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46220-1617
Country : US
Telephone Number : 317-809-7808
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2024
Last Update Date : 01/12/2024

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Directions to “ SOFIA VERALDI LMHCA” Practice Location

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