MEDICARE: EKKLESIA COUNSELING SERVICES 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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1386234029
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EKKLESIA COUNSELING SERVICES LLC

Provider Business Mailing Address
First Line	:	9511 ANGOLA CT STE 222
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46268-1119
Country	:	US
Telephone Number	:	317-840-8367
Fax Number	:

Provider Business Practice Location Address
First Line	:	9511 ANGOLA CT STE 222
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46268-1119
Country	:	US
Telephone Number	:	317-840-8367
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DANIEL ECCLES
Credential	:	MA, LMHCA
Telephone Number	:	317-840-8367

Provider Enumeration Date	:	01/26/2021
Last Update Date	:	01/26/2021

Similar Medicare Providers

1851537690 — MR. JEFFREY L LANE APN
Practice Location Address:

9511 ANGOLA CT
INDIANAPOLIS, IN
46268-1119

Practice Phone: 317-874-0702
Practice Fax:

1982145686 — JILLIAN BEYKE LMHC
Practice Location Address:

9511 ANGOLA COURT , 224
INDIANAPOLIS, IN
46268-1119

Practice Phone: 317-662-0227
Practice Fax:

1285226076 — BETTER ME, LLC
Practice Location Address:

9511 ANGOLA CT STE 316
INDIANAPOLIS, IN
46268-1119

Practice Phone: 317-932-4849
Practice Fax:

1699491795 — WORK VENTURES, LLC
Practice Location Address:

9511 ANGOLA CT
INDIANAPOLIS, IN
46268-1119

Practice Phone: 317-210-0070
Practice Fax:

1770300402 — CERTIFIED HEARTS LLC
Practice Location Address:

9511 ANGOLA CT STE 205
INDIANAPOLIS, IN
46268-1119

Practice Phone: 317-796-8682
Practice Fax:

1558186700 — PLAY IT FORWARD COUNSELING, LLC
Practice Location Address:

9511 ANGOLA CT
INDIANAPOLIS, IN
46268-1119

Practice Phone: 317-408-8033
Practice Fax:

Directions to “EKKLESIA COUNSELING SERVICES LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.