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NPI Code Detail

MEDICARE: THE UMBRELLA CENTER

MEDICARE: THE UMBRELLA CENTER
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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1518631746
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE UMBRELLA CENTER
Provider Business Mailing Address
First Line : 1061 E SOUTHERN AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46203-5214
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1061 E SOUTHERN AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46203-5214
Country : US
Telephone Number : 463-701-0909
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : KRISTEN WIPPERMANN
Credential : BCBA
Telephone Number : 317-442-2186
Provider Enumeration Date : 08/02/2021
Last Update Date : 02/20/2022

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Directions to “THE UMBRELLA CENTER ” Practice Location

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